Individual
MRS. JESSICA LEE KINCANNON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
4150 S DANVILLE DR, SUITE 10, ABILENE, TX 79605-7250
(325) 892-3414
(325) 695-0131
Mailing address
4150 S DANVILLE DR, SUITE 10, ABILENE, TX 79605-7250
(325) 892-3414
(325) 695-0131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/02/2005
Last updated
07/08/2007
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