| NPI | 1700930203 |
|---|---|
| Other Name | KENNA JOAN KINKADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 00375) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-0119) |
| 225X00000X Occupational Therapist (Licence: OK 857) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-06-09 |