Individual
AUGUSTA R KINCART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
304 FRANKLIN ST, KEOSAUQUA, IA 52565-1164
(319) 293-3171
(319) 774-0382
Mailing address
20794 212TH ST, BLOOMFIELD, IA 52537-7202
(641) 208-6141
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
124425
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2022
Last updated
03/03/2026
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