Individual
MR. MICHAEL WILLIAM KINYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
1702 WATER ST, PORT HURON, MI 48060-4136
(810) 966-9102
(810) 966-9104
Mailing address
1702 WATER ST, PORT HURON, MI 48060-4136
(810) 966-9102
(810) 966-9104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
L2085107
MI
Other
Enumeration date
11/07/2011
Last updated
11/10/2011
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