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

Tia Kingcannon

Individual provider Private Vehicle · NPI 1841064342

Tia Kingcannon is a Private Vehicle in Dallas, Texas. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

3662 W Camp Wisdom Rd
Dallas, TX 75237-2500
Phone: (469) 535-1965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Private Vehicle (primary) Taxonomy 347C00000X

Record details

NPI number1841064342
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 14, 2023
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023
Mailing address2633 McKinney Ave # 130124, Dallas, TX 75204-2581

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