Individual
KELLY KINCAIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 842-3000
Mailing address
611 OKEEFE AVE APT 3N27, NEW ORLEANS, LA 70113-1976
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
335836
LA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/31/2023
Last updated
07/19/2023
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