Individual
KATHERINE B KINCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
24 HOSPITAL LN, CALAIS, ME 04619-1329
(910) 642-8011
(910) 642-9328
Mailing address
6355 LUDLUM RD NW, ASH, NC 28420-3217
(910) 540-1781
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
073343
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA203046
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052383
—
NC
01
—
RNA203046
RNA
ME
Enumeration date
01/16/2007
Last updated
07/13/2020
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