Logan Kienholz

NPI 1700264660 - Behavioral Analyst - 103K00000X

NPI Details
NPI 1700264660
Gender Male
Enumeration Date 05/12/2015
Last Updated 05/12/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
6507 GUNN HWY
TAMPA FL, 33625-4021, US
Phone (813) 374-2070
Fax
Business Location
550 N REO ST STE 202
TAMPA FL, 33609-1062, US
Phone
Fax
Toxanomy
Taxonomy Code 103K00000X
License State
License Number
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According to our database, Logan Kienholz NPI is 1700264660, taxonomy code is 103K00000X Logan Kienholz physically located at 6507 Gunn Hwy, Tampa FL, 33625-4021. NPI Number Logan Kienholz has the Individual type.

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1700264660 NPI number is provided on an as is basis without warranty of any kind. 1700264660 is maintained by the National Plan & Provider Enumeration System. The contents of Logan Kienholz are for informational purposes only.