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Individual

DR. JOSEPH PAUL KINCAID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
408 W 25TH AVE, SPOKANE, WA 99203-1808
(509) 999-8237
Mailing address
408 W 25TH AVE, SPOKANE, WA 99203-1808
(509) 999-8237

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M17055
ID
208000000X
Pediatrics Physician
Primary
MD00029893
WA
208D00000X
General Practice Physician
M17055
ID
208D00000X
General Practice Physician
MD00029893
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0033046
ID
01
2276
MOLINA
WA
05
7088651
WA
01
KX268
BLUE CROSS OF IDAHO
ID
Enumeration date
09/22/2006
Last updated
03/10/2023
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