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Individual

AMANDA C. KINLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1336 HIGHWAY 54 W, BLDG 500, FAYETTEVILLE, GA 30214-4535
(770) 461-6142
(770) 461-6271
Mailing address
1336 HIGHWAY 54 W, BLDG 500, FAYETTEVILLE, GA 30214-4535
(770) 461-6142
(770) 461-6271

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT008278
GA

Other

Enumeration date
04/21/2006
Last updated
04/03/2008
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