Individual
FRED KINGERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 WEST COUNTRY CLUB DR, HUNTINGTON, WV 25705
(304) 733-1060
Mailing address
1772 TWP RD 97, WILLOW WOOD, OH 45696
(740) 643-0128
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
693
WV
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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