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ANDREA KINKEADE
NPI 1184165557
Student in an Organized Health Care Education/Training Program in Broken Arrow, OK

Active since March 17, 2017
521 E FORT WORTH DR, BROKEN ARROW, OK 74012(918) 574-1004 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Andrea Kinkeade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA KINKEADE (NPI 1184165557) is an individual student in an organized health care education/training program in Broken Arrow, Oklahoma and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1184165557
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameANDREA KINKEADE
Location Address521 E FORT WORTH DRBroken Arrow, OK 74012-4314
Mailing Address521 E Fort Worth DrBroken Arrow, OK 74012-4314 · (918) 574-1004
Phone(918) 574-1004
Sole ProprietorYes
Enumeration DateMarch 17, 2017
✔ NPI 1184165557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
521 E FORT WORTH DR, Broken Arrow, OK 74012
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Kinkeade's NPI number?

The NPI number for Andrea Kinkeade is 1184165557. It was assigned to this individual provider in the NPPES registry on March 17, 2017.

Where is Andrea Kinkeade located?

Andrea Kinkeade practices at 521 E Fort Worth Dr, Broken Arrow, OK 74012. The listed phone number is (918) 574-1004.

What is Andrea Kinkeade's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andrea Kinkeade was last updated on March 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.