Individual
KYLE KORNOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
18301 N 79TH AVE STE B122, GLENDALE, AZ 85308-8469
(623) 486-3333
(623) 486-3355
Mailing address
18301 N 79TH AVE STE B122, GLENDALE, AZ 85308-8469
(623) 486-3333
(623) 486-3355
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
LPT-32379
AZ
Other
Enumeration date
06/13/2022
Last updated
06/14/2022
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