Individual
MEGHAN E KIENINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 MOUNTAIN VIEW DR, SUITE 100, CUMMING, GA 30040-2434
(770) 889-2163
Mailing address
100 MOUNTAIN VIEW DR, SUITE 100, CUMMING, GA 30040-2434
(770) 889-2163
(770) 889-4385
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008890
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT008890
STATE LISC NUMBER
GA
Enumeration date
11/06/2006
Last updated
08/01/2013
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