Individual
ADRIENNE KINKADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3332 WALDEN AVE, DEPEW, NY 14043-2400
(716) 880-3744
Mailing address
3332 WALDEN AVE, DEPEW, NY 14043-2400
(716) 880-3744
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222745490
DRIVERS LICENSE
NY
Enumeration date
05/22/2017
Last updated
07/21/2022
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