Individual
MR. DONALD KENNETH PINCKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
506 HOLLY AVE, LOGAN, WV 25601-3306
(304) 752-2073
(304) 752-7471
Mailing address
60 9TH AVE, SAINT ALBANS, WV 25177-2711
(304) 752-2073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
440
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159555000
—
WV
Enumeration date
01/29/2008
Last updated
01/29/2008
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