Individual
MR. KERRY G. KUSCHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2560 S 5TH ST, LEBANON, OR 97355-2456
(541) 570-1273
Mailing address
2560 S 5TH ST, LEBANON, OR 97355-2456
(541) 570-1273
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
08893
OR
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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