Individual
MRS. JAIME MICHELLE KINKEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
160 THIRD STREET, BEAVER, PA 15009
(724) 775-2032
(724) 775-2750
Mailing address
PO BOX 428, BEAVER, PA 15009-0428
(724) 775-2032
(724) 775-2750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW123988
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A998821
—
PA
Enumeration date
12/12/2007
Last updated
05/03/2008
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