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NPI Code Detail

MEDICARE: DONALD PAUL KINNARD L.P.T., R.P.T.

MEDICARE: DONALD PAUL KINNARD L.P.T., R.P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistLA 00303LA

General Provider Information

NPI Number : 1790897478
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD PAUL KINNARD L.P.T., R.P.T.
Provider Business Mailing Address
First Line : 901 VERRET ST
Second Line :
City : HOUMA
State : LA
Zip : 70360-4637
Country : US
Telephone Number : 985-868-3806
Fax Number : 985-868-3805
Provider Business Practice Location Address
First Line : 901 VERRET ST
Second Line :
City : HOUMA
State : LA
Zip : 70360-4637
Country : US
Telephone Number : 985-868-3806
Fax Number : 985-868-3805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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