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NPI Code Detail

MEDICARE: MARK A. KINCHES RRT

MEDICARE:   MARK A. KINCHES  RRT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12278S1500XSNF/Subacute Care Certified Respiratory Therapist3767OH
22279S1500XSNF/Subacute Care Registered Respiratory Therapist3767OH

General Provider Information

NPI Number : 1841611035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK A. KINCHES RRT
Provider Business Mailing Address
First Line : 3175 OVERDALE DR
Second Line :
City : RICHFIELD
State : OH
Zip : 44286-9519
Country : US
Telephone Number : 216-534-0133
Fax Number :
Provider Business Practice Location Address
First Line : 6300 HALLE DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-4618
Country : US
Telephone Number : 412-360-9148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2013
Last Update Date : 12/15/2013

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Directions to “ MARK A. KINCHES RRT” Practice Location

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