Individual
OLIVIA KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5420 HIGHWAY 80 E, PEARL, MS 39208-8924
(601) 988-6800
Mailing address
761 RICE RD APT 1006, RIDGELAND, MS 39157-1093
(502) 552-2906
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MS
Other
Enumeration date
05/25/2023
Last updated
05/31/2023
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