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General NPI Number Information
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NPI Number | 1831018613
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Entity Type | Organization
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Legal Business Name | KINERA FOUNDATION INC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 210 COUNTRY DAY RD # 1A
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City | CHESTER
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State | MD
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Zip | 21619-2603
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Country | US
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Telephone | 443-249-3126
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Fax |
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Provider Business Mailing Address
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Address Line | 115 SALLITT DR STE C
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City | STEVENSVILLE
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State | MD
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Zip | 21666-2156
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Country | US
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Telephone | 443-249-3126
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Fax | 443-458-0446
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. KATE SANDERS
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Credential |
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Telephone | 443-249-3126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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