MR. Bryan Kelly Kincannon
NPI #1780988444 in Van Alstyne, Texas
Provider Information
- NPI Number
- 1780988444
- Entity Type
- Individual
- Name
- MR. Bryan Kelly Kincannon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Jan 10, 2011
- Last Updated
- Jan 10, 2011
Practice Location
- Address
- 632 WINDSOR WAY
- City
- Van Alstyne
- State
- Texas
- ZIP Code
- 75495
- Phone
- (903) 482-9324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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