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Individual
KATHRYN A KENISTON
Active
Individual
KATHRYN A KENISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
011469
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00363213
—
NY
01
—
011469
LICENSE
NY
Enumeration date
06/04/2007
Last updated
07/09/2007
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