Joshua Lee Kincannon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114617982

Joshua Lee Kincannon is a Student in an Organized Health Care Education/Training Program in Round Mountain, California. Works from 2 locations. Licensed in California.

Licensed in: CA
In the registry since: 2023
Specialties on file: 2

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Round Mountain, CA
Fax: (530) 232-9602

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

12600 Autumn Oaks Ln, Redding, CA 96003-7762 — (530) 356-8969

Specialties & licences

Dentist (primary)	Taxonomy 122300000X · Licence 110518 (CA)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1114617982
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	May 15, 2023
Last updated in NPPES	September 25, 2024
Certification date	September 25, 2024

Other providers in Round Mountain

Madison Campbell

Individual Student in an Organized Health Care Education/Training Program · NPI 1972350213

Student / training record Round Mountain, CA