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Individual

KIM MCKINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT/PT

Contact information

Practice address
601 S TREE GARDEN DR, ST AUGUSTINE, FL 32086-5234
(904) 669-4285
Mailing address
601 S TREE GARDEN DR, ST AUGUSTINE, FL 32086-5234
(904) 669-4285

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
PT 20437
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT 9943
FL

Other

Enumeration date
07/15/2013
Last updated
07/15/2013
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