Individual
LAURA P KINKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1115 W OAKDALE AVE APT 2A, CHICAGO, IL 60657-4319
(630) 244-5622
Mailing address
1115 W OAKDALE AVE APT 2A, CHICAGO, IL 60657-4319
(630) 244-5622
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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