Keenan Kincaid, Jacqueline

Keenan Kincaid, Jacqueline is an individual health care provider with primary practice located at 7950 S Military Trl Suite 103, Lake Worth FL 33463-8162. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Keenan Kincaid, Jacqueline can be contacted via phone (561) 389-4377.

Contact Information

Primary practice address
7950 S Military Trl Suite 103 Lake Worth FL 33463-8162
Phone: (561) 389-4377
Fax: (561) 292-2155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA13932 Florida

Profile Details

NPI number 1568538643
LBN Legal business name Keenan Kincaid, Jacqueline
Credentials L.M.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Dec 20th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568538643 NPPES
Florida MEDICAID 687987096

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