Individual
CARMEN VINNETTA KINKEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
637 S 8TH AVE, MOUNT VERNON, NY 10550-4316
(646) 672-3014
Mailing address
637 S 8TH AVE, MOUNT VERNON, NY 10550-4316
(646) 672-3014
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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