Individual
PAUL JAMES KINKEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1101 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4467
(540) 741-2965
Mailing address
7513 CHEROKEE RD, RICHMOND, VA 23225-1129
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
10/20/2021
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