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

Mr. Bryan Kelly Kincannon

Individual provider Physical Therapy Assistant · NPI 1780988444

Mr. Bryan Kelly Kincannon is a Physical Therapy Assistant in Van Alstyne, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2011

Practice location Address checks out

632 Windsor Way
Van Alstyne, TX 75495 Not confirmed with CMS for 15 years — call before visiting
Phone: (903) 482-9324
Fax: (903) 482-9346
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2052172 (TX)

Record details

NPI number1780988444
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 10, 2011
Last updated in NPPESJanuary 10, 2011