Individual
EMILY KINKEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13900 HULL STREET RD, MIDLOTHIAN, VA 23112-2004
(804) 639-8900
Mailing address
13900 HULL STREET RD, MIDLOTHIAN, VA 23112-2004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000355
VA
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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