NPI 1043736424

John Roberts-Kinyon, CO

Practitioner Orthotist Grosse Pointe Park, MI

Practice location

Address: 1383 Nottingham Rd, Grosse Pointe Park, MI 48230-1026
Phone: (313) 399-9307

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1043736424
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2017
Record last updated: 17 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.