Individual
LONNIE KINCAID JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
WEIGHT TRAINER
Contact information
Practice address
8014 MIDLOTHIAN TPKE, SUITE 200-A, RICHMOND, VA 23235-5291
(804) 592-4751
(804) 592-4752
Mailing address
PO BOX 35229, RICHMOND, VA 23235-0229
(804) 592-4751
(804) 592-4752
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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