Individual
KELLEIGH KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNTP, RWS, BCHN
Contact information
Practice address
2050 NE HOYT ST APT 634, PORTLAND, OR 97232-3660
(541) 880-4464
Mailing address
2050 NE HOYT ST APT 634, PORTLAND, OR 97232-3660
(541) 880-4464
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
4428
OR
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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