Individual
KIERSTEN M MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2600 MOREHOUSE AVE, ELKHART, IN 46517-2552
(574) 295-8800
Mailing address
66350 US HIGHWAY 31, LAKEVILLE, IN 46536-9769
(574) 360-5314
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003696A
IN
Other
Enumeration date
07/17/2007
Last updated
05/13/2015
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