Individual
MS. REGINA DARLENE KINNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED.
Contact information
Practice address
594 ALTON AVE, PONTIAC, MI 48341-2607
(248) 818-6638
Mailing address
594 ALTON AVE, PONTIAC, MI 48341-2607
(248) 818-6638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
106899
TX
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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