Individual
KYLE JOHN KINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
551 BROAD ST, WAVERLY, NY 14892-1502
(607) 565-9212
Mailing address
551 BROAD ST, WAVERLY, NY 14892-1502
(607) 565-9212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013494
NY
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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