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Individual

ARIC KINNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2076
Mailing address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2076

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5695
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40399400
WI
Enumeration date
12/06/2007
Last updated
12/06/2007
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