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Individual
THOMAS LEWIS KINCHELOE IV
Active
Individual
THOMAS LEWIS KINCHELOE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
DO202194
OR
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OP61377812
WA
207Q00000X
Family Medicine Physician
OP61377812
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/05/2018
Last updated
09/14/2026
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