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Individual
MISS LYNN M KINCANON
Active
Individual
MISS LYNN M KINCANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0124407
CO
363L00000X
Nurse Practitioner
3127
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0003127-NP
CO
363LF0000X
Family Nurse Practitioner
61296
NE
Other
Enumeration date
06/22/2005
Last updated
05/17/2016
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