KIRK D KINGERY

PROVO, UT
NPI1184735755
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251H1200X Physical Therapist, Hand
(Licence: UT  260693-2401)
Enumeration Date2006-08-31
Last Update Date2008-04-11
Business Address
-- KIRK D KINGERY PT
1055 N 500 W SUITE 122
PROVO, UT 84604-3305
Phone number: 801-429-0610
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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