# DANIEL J KINKEAD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KINKEAD CHIROPRACTIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295983971
- **Authorized official:** DANIEL J. KINKEAD P.C. (OWNER)
- **Authorized official phone:** (480) 838-6696

## Contact information

- **Practice address:** 3614 E SOUTHERN AVE, SUITE A-105, MESA, AZ 85206-2509
- **Practice address phone:** (480) 838-6696
- **Practice address fax:** (480) 838-9392
- **Mailing address:** 3614 E SOUTHERN AVE, SUITE A-105, MESA, AZ 85206-2509
- **Mailing address phone:** (480) 838-6696
- **Mailing address fax:** (480) 838-9392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | AZ4294 | AZ | Yes |

## Other

- **Enumeration date:** 09/05/2008
- **Last updated:** 05/28/2019