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NPI 1871600221

NPI 1871600221 : KATHRYN ANN MCKINLEY RKT : TEMPLE, TX

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General NPI Number Information
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    NPI Number           |    1871600221
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    Entity Type          |    Individual 
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    Provider Name        |    KATHRYN ANN MCKINLEY RKT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/23/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1901 S 1ST ST KINESIOTHERAPY 117T
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    City                 |    TEMPLE
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    State                |    TX
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    Zip                  |    76504-7451
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    Country              |    US
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    Telephone            |    254-743-0618
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    Fax                  |    254-743-0028
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Provider Business Mailing Address
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    Address Line         |    14900 SULLIVAN RD 
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    City                 |    HOLLAND
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    State                |    TX
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    Zip                  |    76534-5075
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    Country              |    US
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    Telephone            |    254-982-4458
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    Fax                  |    254-982-0058
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    226300000X
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    Taxonomy Name        |    Kinesiotherapist
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    License Number       |    
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    License Number State |    
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