Individual
MR. JOHN GORDON KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3600 LIND AVENUE SW, SUITE 170, RENTON, WA 98057
(425) 656-5020
(425) 656-4218
Mailing address
17915 112TH AVE SE, RENTON, WA 98055
(425) 204-8519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00005783
WA
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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