Individual
MR. GARY GLENN KINMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S
Contact information
Practice address
648 FLORIDA AVE, PANAMA CITY, FL 32401-6311
(850) 769-6001
Mailing address
648 FLORIDA AVE, PANAMA CITY, FL 32401-6311
(850) 769-6001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH2011
FL
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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