Individual
BRANDI NICOLE KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2772
(573) 302-2264
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011005105
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425553609
—
MO
01
—
P01000137
RAIL ROAD MEDICARE
MO
Enumeration date
02/23/2011
Last updated
04/30/2024
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