Individual
AMANDA LYNN KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8439 VALLEY BLVD, BLOWING ROCK, NC 28605-8957
(828) 295-3116
(828) 295-4388
Mailing address
160 RIVER BEND DR STE A, GRANITE FALLS, NC 28630-9371
(828) 757-5060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012489
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5012489
APRN
NC
Enumeration date
11/06/2019
Last updated
12/18/2024
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