Individual
CARRIE KINCAID-WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
119 CENTRAL PARK, PETERSBURG, VA 23803-4551
(804) 322-3996
Mailing address
119 CENTRAL PARK, PETERSBURG, VA 23803-4551
(804) 322-3996
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000808
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9330429
—
VA
Enumeration date
07/07/2006
Last updated
02/04/2022
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