Andrea Kinkeade
NPI #1184165557 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1184165557
- Entity Type
- Individual
- Name
- Andrea Kinkeade
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Mar 17, 2017
- Last Updated
- Mar 17, 2017
Practice Location
- Address
- 521 E FORT WORTH DR
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4314
- Phone
- (918) 574-1004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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