Most Relevant Information
Provider Data
| NPI Number: | 1003498221 |
| Provider Name: | KEVIN KINNEY |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/27/2021 |
| Last Updated: | 04/27/2021 |
Provider Practice Location
15023 21 MILE RD
SHELBY TOWNSHIP
MI
483155024
Practice Location Phone/Fax
| Phone: | 5862869644 |
| Fax: |
Provider Mailing Location
15023 21 MILE RD
SHELBY TOWNSHIP
MI
483155024
Provider Mailing Phone/Fax
| Phone: | 5862869644 |
| Fax: |