Individual
KEVIN KARNSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 E RUSHOLME ST, DAVENPORT, IA 52803-2547
(319) 530-9566
Mailing address
1105 W 59TH ST, DAVENPORT, IA 52806-1855
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
073664
IA
225200000X
Physical Therapy Assistant
160.006963
IL
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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