Provider Demographics
NPI:1346754595
Name:KINCHEN, ANNE MARGARET
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARGARET
Last Name:KINCHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ANNE
Other - Middle Name:MARGARET
Other - Last Name:KINCHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:25200 CHAGRIN BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5681
Mailing Address - Country:US
Mailing Address - Phone:216-292-9698
Mailing Address - Fax:216-292-9698
Practice Address - Street 1:25200 CHAGRIN BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5681
Practice Address - Country:US
Practice Address - Phone:216-292-9698
Practice Address - Fax:216-292-9698
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-27
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000006171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty