| NPI | 1629167820 |
|---|---|
| Former Name | SARA ANN KINNINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4207-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-010639) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2025-02-14 |