Individual
LAURA KINKADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 576-3525
(209) 576-3544
Mailing address
1441 FLORIDA AVE, MODESTO, CA 95350-4404
(209) 576-3525
(209) 576-3544
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95002933
CA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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