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Andrea Kinkeade
Student in an Organized Health Care Education/Training Program in Broken Arrow, Oklahoma
NPI 1184165557

Andrea Kinkeade is a Student in an Organized Health Care Education/Training Program based in Broken Arrow, OK. Andrea Kinkeade practices in Broken Arrow, OK. The NPI Number for Andrea Kinkeade is 1184165557 and holds a License No. (Oklahoma).

The current practice location address for Andrea Kinkeade is 521 E Fort Worth Dr, Broken Arrow, OK and can be reached out via phone at 918-574-1004. You can also correspond with Andrea Kinkeade through the mailing address at 521 E FORT WORTH DR, BROKEN ARROW, OK - 74012-4314 (mailing address contact number: 918-574-1004).

Location: 521 E Fort Worth Dr, Broken Arrow, OK, 74012-4314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184165557
Provider Name
Andrea Kinkeade
Credential
Provider Entity Type
Individual
Gender
Female
Address
521 E Fort Worth Dr, Broken Arrow, OK, 74012-4314
Phone Number
918-574-1004
Fax Number
Provider Enumeration Date
03/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
521 E Fort Worth Dr
City
Broken Arrow
State
Oklahoma
Zip
74012-4314
Phone Number
918-574-1004
Fax Number
person
Provider Business Mailing Address Details
Address
521 E Fort Worth Dr
City
Broken Arrow
State
Oklahoma
Zip
74012-4314
Phone Number
918-574-1004
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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