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Joshua Lee Kincannon
Student in an Organized Health Care Education/Training Program in Redding, California
NPI 1114617982

Joshua Lee Kincannon is a Student in an Organized Health Care Education/Training Program based in Redding, CA. Joshua Lee Kincannon practices in Redding, CA. The NPI Number for Joshua Lee Kincannon is 1114617982 and holds a License No. (California).

The current practice location address for Joshua Lee Kincannon is 12600 Autumn Oaks Ln, Redding, CA and can be reached out via phone at 530-356-8969.

Location: 12600 Autumn Oaks Ln, Redding, CA, 96003-7762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114617982
Provider Name
Joshua Lee Kincannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
12600 Autumn Oaks Ln, Redding, CA, 96003-7762
Phone Number
530-356-8969
Fax Number
Provider Enumeration Date
05/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12600 Autumn Oaks Ln
City
Redding
State
California
Zip
96003-7762
Phone Number
530-356-8969
Fax Number
person
Provider Business Mailing Address Details
Address
12600 Autumn Oaks Ln
City
Redding
State
California
Zip
96003-7762
Phone Number
530-356-8969
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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