Individual
JORDANA MICHELLE KINCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A115529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053605162
—
WA
01
—
1780782557
SITE NPI
—
01
—
ZZZ92058Z
SITE PTAN
CA
Enumeration date
06/06/2011
Last updated
12/06/2021
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