Individual
SARA KINSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2264
MA
2255A2300X
Athletic Trainer
AT2950
TX
246Z00000X
Other Specialist/Technologist
Primary
957
CT
Other
Enumeration date
06/18/2012
Last updated
12/02/2014
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