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Individual
KURTIS AUSTIN KINNA
Active
Individual
KURTIS AUSTIN KINNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025401
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032665920004
—
PA
01
—
1A5344
MEDICARE
PA
Enumeration date
09/06/2016
Last updated
04/28/2020
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