Jessica H Kinkela, PHD is a
Clinical Neuropsychologist based in Forest Park, Illinois. Jessica H Kinkela is licensed to practice in Ohio (license number 6695) and her current practice location is
7227 Roosevelt Rd Apt 5, Forest Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(740) 707-5487.
NPI number for Jessica H Kinkela is 1689984767 and her current mailing address is 7227 Roosevelt Rd Apt 5, Forest Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689984767.
Healthcare Provider's Profile
Full Name | Jessica H Kinkela |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 7227 Roosevelt Rd Apt 5, Forest Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689984767
- Provider Enumeration Date: 10/07/2010
- Last Update Date: 10/08/2010
Medical Identifiers
Medical identifiers for Jessica H Kinkela such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689984767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 6695 (Ohio) | Secondary |
103G00000X | Clinical Neuropsychologist | 6695 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica H Kinkela is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica H Kinkela, PHD 7227 Roosevelt Rd Apt 5, Forest Park, IL 60130-2423 Ph: (740) 707-5487 | Jessica H Kinkela, PHD 7227 Roosevelt Rd Apt 5, Forest Park, IL 60130-2423 Ph: (740) 707-5487 |
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