Individual
MRS. SUPAWAN KINCHELOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2018 WOODWAY DR, LEANDER, TX 78641-8369
(660) 233-2882
(660) 233-2882
Mailing address
2018 WOODWAY DR, LEANDER, TX 78641-8369
(660) 233-2882
(660) 233-2882
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024005578
TX
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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