Individual
KERRY JOVITA KINCADE-ANEKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 SW A AVE, LAWTON, OK 73501-3930
(580) 713-8107
Mailing address
602 SW A AVE, LAWTON, OK 73501-3930
(580) 713-8107
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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