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MR. JASON KINDLE PT

>> Specialist >> Other Service Providers

Registrant NPI Number: 1992844450

Individual Registrant:
MR. JASON  KINDLE PT
Gender: M
Sole Proprietor

Location and contact information for practice:
505 S MYRTLE AVE  SMITHTON, MO 65350-1038 US
Tel: 660-343-5316  Fax: 660-343-5389

Contact information for business:
505 S MYRTLE AVE  SMITHTON, MO 65350-1038 US
Tel: 660-343-5316  Fax: 660-343-5389

Registration Information:
NPI: 1992844450
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
MO105632

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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