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Individual

MS. JACQUELINE KEENAN KINCAID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.T.

Contact information

Practice address
7950 S MILITARY TRL, SUITE 103, LAKE WORTH, FL 33463-8162
(561) 389-4377
(561) 292-2155
Mailing address
4781 N CONGRESS AVE, #186, BOYNTON BEACH, FL 33426-7941
(561) 389-4377
(561) 292-2155

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA13932
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
687987096
FL
Enumeration date
11/28/2006
Last updated
12/20/2011
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