# DR. CHARLES L KINCAID

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1538137187
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5272 | KS | Yes |

## Other

- **Enumeration date:** 03/09/2006
- **Last updated:** 10/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100096960A | — | KS |
| 01 | — | 116696 | BCBSKS | — |
| 01 | — | 12985022 | BCBSKC | — |
| 01 | — | 21647 | UNITED CONCORDIA | — |