Individual
DR. THOMAS A KINCADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6500
Mailing address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20788
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100125660C
—
OK
05
—
100125660D
—
OK
Enumeration date
01/31/2006
Last updated
05/07/2008
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