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1184735755
KIRK D KINGERY
PROVO, UT
NPI
1184735755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251H1200X Physical Therapist, Hand
(Licence: UT 260693-2401)
Enumeration Date
2006-08-31
Last Update Date
2008-04-11
Business Address
-- KIRK D KINGERY PT
1055 N 500 W SUITE 122
PROVO, UT 84604-3305
Phone number: 801-429-0610
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Mailing Address
-- KIRK D KINGERY PT
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8225
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