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Audrey Deanne Kincannon
Peer Specialist in Weatherford, Oklahoma
NPI 1225723760

Audrey Deanne Kincannon is a Peer Specialist based in Weatherford, OK. Audrey Deanne Kincannon practices in Weatherford, OK. The NPI Number for Audrey Deanne Kincannon is 1225723760 and holds a License No. (Oklahoma).

The current practice location address for Audrey Deanne Kincannon is 2250 N Airport Rd, Weatherford, OK and can be reached out via phone at 580-375-6300. You can also correspond with Audrey Deanne Kincannon through the mailing address at 2250 N AIRPORT RD, WEATHERFORD, OK - 73096-3351 (mailing address contact number: 580-375-6300).

Location: 2250 N Airport Rd, Weatherford, OK, 73096-3351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225723760
Provider Name
Audrey Deanne Kincannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
2250 N Airport Rd, Weatherford, OK, 73096-3351
Phone Number
580-375-6300
Fax Number
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2250 N Airport Rd
City
Weatherford
State
Oklahoma
Zip
73096-3351
Phone Number
580-375-6300
Fax Number
person
Provider Business Mailing Address Details
Address
2250 N Airport Rd
City
Weatherford
State
Oklahoma
Zip
73096-3351
Phone Number
580-375-6300
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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