Individual
SHANTELL LIPSCOMB KINCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11357 NUCKOLS RD # 2159, GLEN ALLEN, VA 23059-5504
(804) 510-0077
(803) 617-0637
Mailing address
11357 NUCKOLS RD # 2159, GLEN ALLEN, VA 23059-5504
(804) 510-0077
(803) 617-0637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001328988
VA
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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