Individual
KENYON YAR'MAUDE BONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8300 EL DORADO PKWY WEST, MCKINNEY, TX 75070
(972) 548-9339
Mailing address
2021 BISHOP BARREL LN, ST PAUL, TX 75098-0228
(405) 638-5587
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2111781
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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