Individual
PATRICIA KAY KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 N TUSTIN AVE, SANTA ANA, CA 92705-3509
(714) 835-6055
(714) 835-3287
Mailing address
7 BRAMBLEWOOD, IRVINE, CA 92620-1279
(714) 835-3709
(714) 835-3287
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G76053
CA
2085N0700X
Neuroradiology Physician
G76053
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G76053
CA
2085U0001X
Diagnostic Ultrasound Physician
G76053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G760530
—
CA
Enumeration date
06/16/2006
Last updated
05/09/2014
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