Individual
THOMAS LEWIS KINCHELOE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8905 W GAGE BLVD STE 100, KENNEWICK, WA 99336-7191
(509) 579-4300
(509) 317-9542
Mailing address
8905 W GAGE BLVD STE 100, KENNEWICK, WA 99336-7191
(509) 579-4300
(509) 317-9542
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
DO202194
OR
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OP61377812
WA
207Q00000X
Family Medicine Physician
OP61377812
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2018
Last updated
04/23/2026
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