MR. Kenneth Joseph Micon, PT

NPI #1932192861 in Niagara Falls, New York

Provider Information

NPI Number: 1932192861
Entity Type: Individual
Name: MR. Kenneth Joseph Micon, PT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 25, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 2111 SAWYER DR
City: Niagara Falls
State: New York
ZIP Code: 14304-2975
Phone: (716) 731-2195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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