Individual
KENNETH KINCHLOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2511 WEDGLEA DR, APT. 223, DALLAS, TX 75211-2037
(313) 502-6333
Mailing address
2511 WEDGLEA DR, APT. 223, DALLAS, TX 75211-2037
(313) 502-6333
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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