Individual
KATHRYN MARI LIN KINCEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
43658 STATE HIGHWAY 299 E, FALL RIVER MILLS, CA 96028-9819
(530) 999-9020
Mailing address
621 E FOSTER AVE, COEUR D ALENE, ID 83814-3048
(208) 967-2597
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15892
CA
363AM0700X
Medical Physician Assistant
PA10004548
WA
Other
Enumeration date
04/10/2006
Last updated
09/16/2024
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