Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bryan Kelly Kincannon

Individual provider Physical Therapy Assistant · NPI 1780988444

Mr. Bryan Kelly Kincannon is a Physical Therapy Assistant in Van Alstyne, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2011

Practice location Address checks out

632 Windsor Way
Van Alstyne, TX 75495
Phone: (903) 482-9324
Fax: (903) 482-9346
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2052172 (TX)

Record details

NPI number1780988444
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 10, 2011
Last updated in NPPESJanuary 10, 2011