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Individual

MR. KYLE DUWAYNE KINNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
106 E WASHINGTON ST, JEFFERSON, IA 50129-1952
(515) 370-0219
Mailing address
604 RUSHVIEW DR, JEFFERSON, IA 50129-2719
(515) 386-4783

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00878
IA

Other

Enumeration date
08/27/2010
Last updated
08/27/2010
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