# MR. CHAD BENTON KINCAID

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588813315
- **Gender:** Man
- **Credential:** C.P. , P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224P00000X | Prosthetist | CP003523 | NULL | Yes |
| 225100000X | Physical Therapist | 5335 | CO | — |

## Other

- **Enumeration date:** 09/17/2008
- **Last updated:** 09/17/2008