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NPI Code Detail

MEDICARE: BRIAN KINSMAN DPT

MEDICARE: BRIAN KINSMAN DPT
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 Therapist035729-1NY

General Provider Information

NPI Number : 1346587367
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN KINSMAN DPT
Provider Business Mailing Address
First Line : 515 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14612-3005
Country : US
Telephone Number : 585-227-2310
Fax Number : 585-227-2312
Provider Business Practice Location Address
First Line : 515 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14612-3005
Country : US
Telephone Number : 585-227-2310
Fax Number : 585-227-2312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2013
Last Update Date : 03/12/2020

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