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Individual
MR. KIM ENEBERG
Active
Individual
MR. KIM ENEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT35351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT60648721
STATE LICENSE
WA
Enumeration date
11/15/2017
Last updated
08/10/2026
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