Individual
CAROL ANN KINNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2718 HENRY ST, GREENSBORO, NC 27405-3633
(336) 375-1007
(336) 375-9615
Mailing address
2718 HENRY ST, GREENSBORO, NC 27405-3633
(336) 375-1007
(336) 375-9615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8490
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078MX
BCBSNC
NC
05
—
7211470
—
NC
Enumeration date
05/19/2006
Last updated
09/09/2015
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