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Individual

KAILEY ABIGAIL KINCADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
230 HIGHWAY 5 N STE 10, MOUNTAIN HOME, AR 72653-3013
(870) 404-0270
(870) 701-3073
Mailing address
PO BOX 2475, MOUNTAIN HOME, AR 72654-2475
(870) 404-0270
(870) 404-0270

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
10/09/2024
Last updated
10/09/2024
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