Individual
ELIZABETH KINCANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 WINDOVER RD STE A, JONESBORO, AR 72401-6009
(870) 520-0646
Mailing address
1007 WINDOVER RD STE A, JONESBORO, AR 72401-6009
(870) 520-0646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2025-005
AR
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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