Individual
MADISON KINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
510 PANTHER DR, JEFFERSON, GA 30549-5400
(706) 870-6069
(706) 932-0206
Mailing address
510 PANTHER DR, JEFFERSON, GA 30549-5400
(706) 367-1141
(706) 932-0206
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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