Whalio Doctors

NPI 1336468578

Jodi Lynn Kincanon

Practitioner Social Worker Weatherford, OK

Practice location

Address
1404 Chisholm Trl, Weatherford, OK 73096-2339
Phone
(580) 302-3423
Fax
(580) 774-5285

Registered specialties

Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 104100000X

Registry record

NPI
1336468578
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 May 2010
Record last updated
27 May 2010

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.