John Roberts-Kinyon, CO

NPI #1043736424 in Grosse Pointe Park, Michigan

Provider Information

NPI Number: 1043736424
Entity Type: Individual
Name: John Roberts-Kinyon, CO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthotist
Credential: CO
Enumeration Date: Aug 17, 2017
Last Updated: Aug 17, 2017

Practice Location

Address: 1383 NOTTINGHAM RD
City: Grosse Pointe Park
State: Michigan
ZIP Code: 48230-1026
Phone: (313) 399-9307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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