Individual
KATHLEEN ELIZABETH KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1125 SE WASHINGTON STREET, PULLMAN, WA 99164-9686
(509) 335-3575
Mailing address
2135 NW CANYON VIEW DR, PULLMAN, WA 99163-6011
(509) 595-0241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61189503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP61189503
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
01
—
F06210690
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
07/06/2021
Last updated
05/13/2022
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