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Individual

MR. KENNETH RAY PRINGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, ATC

Contact information

Practice address
3901 RAINBOW BOULEVARD, MAIL STOP 3017, KANSAS CITY, KS 66160
(913) 945-6428
(913) 945-6802
Mailing address
6327 BROWNRIDGE DR, SHAWNEE, KS 66218-8989
(913) 441-1154

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04616
KS
2255A2300X
Athletic Trainer
2400532
KS

Other

Enumeration date
12/20/2006
Last updated
06/12/2013
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