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Individual

TRACEY STUART KINDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
111 19TH ST, WHEELING, WV 26003-3709
(304) 234-3500
Mailing address
111 19TH ST, WHEELING, WV 26003-3709
(304) 234-3500

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
374700000X
Technician
Primary

Other

Enumeration date
02/27/2020
Last updated
02/27/2020
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