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Individual

MR. EDWARD KENLY STARTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16913
MD
225100000X
Physical Therapist
J1-0002589
DE
225100000X
Physical Therapist
PTL-10393
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16913
1700198207
MD
Enumeration date
07/13/2010
Last updated
04/10/2026
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