Individual
COURTNEY KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 N PARK AVENUE, WELLSTON, OH 45692
(740) 384-5611
Mailing address
PO BOX 892, JACKSON, OH 45640-0892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.12561
OH
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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