King Gunning, Kendrick Justin

King Gunning, Kendrick Justin is an individual health care provider with primary practice located at 3330 E Louise Dr Ste 400 , Meridian ID 83642-5123. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. King Gunning, Kendrick Justin can be contacted via phone (208) 706-2333.

Contact Information

Primary practice address
3330 E Louise Dr Ste 400 Meridian ID 83642-5123
Phone: (208) 706-2333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA-4208 Idaho

Profile Details

NPI number 1669034823
LBN Legal business name King Gunning, Kendrick Justin
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2019
Last updated Jul 8th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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