Individual
MICHAEL SCOTT KINNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4730 CHACE LANDING CIRCLE, SUITE 124, HOOVER, AL 35244
(205) 730-3189
(205) 905-6212
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14501
AL
225100000X
Physical Therapist
Primary
PTH4021
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51525713
BLUE CROSS & BLUE SHIELD
AL
01
—
51525714
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
06/22/2006
Last updated
07/21/2022
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