NPI 1174664171
Jennifer Kinkade, OTRL
Practice location
- Address
- 603 NW Stanford Ln, Port Saint Lucie, FL 34983-3406
- Phone
- (772) 336-9357
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1174664171
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Feb 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.