Individual
KYLER KINNAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12982 VALLEY VIEW RD, EDEN PRAIRIE, MN 55344-3657
(952) 944-2519
Mailing address
PO BOX 9188, MINNEAPOLIS, MN 55480-9188
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13042
MN
Other
Enumeration date
05/15/2023
Last updated
08/30/2023
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