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Organization
KINERA FOUNDATION, INC
Active
Organization
KINERA FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY RUSSELL (PRESIDENT)
(443) 249-3126
Entity
Organization
Contact information
Practice address
115 SALLITT DR, SUITE C, STEVENSVILLE, MD 21666-2156
(443) 249-3126
Mailing address
115 SALLITT DR, SUITE C, STEVENSVILLE, MD 21666-2156
(443) 249-3126
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
06759
MD
235Z00000X
Speech-Language Pathologist
Primary
—
MD
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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