Individual
KAREN ANN KINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
900 S WEBSTER AVE, GREEN BAY, WI 54301-3508
(920) 433-0111
(920) 433-8765
Mailing address
PO BOX 13508, GREEN BAY, WI 54307-3508
(920) 433-0111
(920) 433-8765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4366-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40361700
—
WI
Enumeration date
09/25/2006
Last updated
09/17/2012
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