Individual
MR. KEVIN WAYNE KINNAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
1509 BROOKWOOD AVE, SUITE A, DUNCAN, OK 73533-1316
(580) 252-9159
(580) 255-2158
Mailing address
825 N BROADWAY AVE, SUITE 400, OKLAHOMA CITY, OK 73102-6039
(405) 609-3675
(800) 506-3795
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT136
OK
Other
Enumeration date
09/29/2008
Last updated
02/23/2010
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