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Individual

KEVIN LAUDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, ATC

Contact information

Practice address
ILLINOIS STATE UNIVERSITY, CAMPUS BOX 5000, NORMAL, IL 61709-5000
(309) 438-7609
Mailing address
ILLINOIS STATE UNIVERSITY, CAMPUS BOX 5000, NORMAL, IL 61709-5000

Taxonomy

Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
096001304
IL

Other

Enumeration date
06/22/2016
Last updated
06/22/2016
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