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Individual

MARY PERKINS KINKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.DIV., D.MIN.

Contact information

Practice address
120 S VILLAGE LN STE D, DAVIDSON, NC 28036-8159
(704) 560-0525
Mailing address
PO BOX 38, DAVIDSON, NC 28036-0038
(704) 560-0525

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
0073
NC
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1780610436
NPI
NC
Enumeration date
06/24/2006
Last updated
04/05/2026
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