1568538643 NPI number — MS. JACQUELINE KEENAN KINCAID L.M.T.

Table of content: MS. JACQUELINE KEENAN KINCAID L.M.T. (NPI 1568538643)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568538643 NPI number — MS. JACQUELINE KEENAN KINCAID L.M.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KEENAN KINCAID
Provider First Name:
JACQUELINE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
L.M.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568538643
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/20/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4781 N CONGRESS AVE
Provider Second Line Business Mailing Address:
#186
Provider Business Mailing Address City Name:
BOYNTON BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33426-7941
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-389-4377
Provider Business Mailing Address Fax Number:
561-292-2155

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7950 S MILITARY TRL
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
LAKE WORTH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33463-8162
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-389-4377
Provider Business Practice Location Address Fax Number:
561-292-2155
Provider Enumeration Date:
11/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  MA13932 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 687987096 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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