# KINCAID MEDICAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942329263
- **Authorized official:** DR. ROSA KINCAID M.D. (OWNER)
- **Authorized official phone:** (314) 531-0008

## Contact information

- **Practice address:** 3016 LOCUST ST, SUITE 104, SAINT LOUIS, MO 63103-1372
- **Practice address phone:** (314) 531-0008
- **Practice address fax:** (314) 531-0145
- **Mailing address:** 3016 LOCUST ST, SUITE 104, SAINT LOUIS, MO 63103-1372
- **Mailing address phone:** (314) 531-0008
- **Mailing address fax:** (314) 531-0145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R9N99 | MO | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 02/02/2017