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Individual

RICHARD W KINCAID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
545 S BOEHNE CAMP RD, EVANSVILLE, IN 47712-3703
(812) 429-1818
(812) 426-9564
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 429-1818
(812) 426-9564

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01027795A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000109407
ANTHEM
IN
05
100188450
IN
01
64756612
KY MEDICAID
KY
Enumeration date
11/29/2006
Last updated
01/03/2013
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