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Individual

MR. KEVIN B VORKINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
803 S 20TH ST, PUTNAM CO R-I SCHOOL DISTRICT, UNIONVILLE, MO 63565-1482
(660) 947-3361
(660) 947-2912
Mailing address
803 S 20TH ST, UNIONVILLE, MO 63565-1482
(660) 947-3361
(660) 947-2912

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
112595
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
487545907
MO
Enumeration date
03/05/2007
Last updated
02/19/2009
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