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Individual

KYNSLEIGH PARNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1108 AIRPORT BLVD STE A, PENSACOLA, FL 32504-8623
(850) 471-1005
Mailing address
2220 GLORIA CIR APT 15, PENSACOLA, FL 32514-5338

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18511
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
YAQ868105636M
BLUE CROSS BLUE SHIELD
MS
Enumeration date
06/15/2017
Last updated
06/16/2018
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