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Individual

NATE EDWARD KINNISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
111 W ALLEN ST, WENTZVILLE, MO 63385-1402
(636) 686-0201
(636) 486-4350
Mailing address
111 W ALLEN ST, WENTZVILLE, MO 63385-1402
(636) 686-0201

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2020029175
MO

Other

Enumeration date
09/14/2020
Last updated
07/11/2022
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