Jacob Eric Kinnett

NPI #1861202715 in Tecumseh, Oklahoma

Provider Information

NPI Number: 1861202715
Entity Type: Individual
Name: Jacob Eric Kinnett
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jan 13, 2025
Last Updated: Jan 13, 2025

Practice Location

Address: 24962 OKAY RD
City: Tecumseh
State: Oklahoma
ZIP Code: 74873-6504
Phone: (405) 253-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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