Individual
MATTHEW C KINKADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1177 QUAIL CT STE 200, PEWAUKEE, WI 53072-3768
(262) 695-3057
(262) 695-3063
Mailing address
1177 QUAIL CT STE 200, PEWAUKEE, WI 53072-3768
(262) 695-3057
(262) 695-3063
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12324-24
WI
Other
Enumeration date
08/15/2013
Last updated
06/17/2024
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