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Individual

MR. SETH JOHN KINLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
A.T.,C.

Contact information

Practice address
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1909
(570) 320-7456
(570) 320-7455
Mailing address
1668 GRAHAM RD, WILLIAMSPORT, PA 17701-1718
(570) 320-7456
(570) 320-7455

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001849A
PA

Other

Enumeration date
03/05/2007
Last updated
07/08/2007
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