Individual
ANDREW WILLIAM KINNAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9060 HARMONY DR, MIDWEST CITY, OK 73130-6218
(405) 610-8090
(405) 610-8097
Mailing address
9060 HARMONY DR, MIDWEST CITY, OK 73130-6218
(405) 610-8090
(405) 610-8097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6173
OK
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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