Individual
DR. STANLEY GORDON KINKAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 KIMEL FOREST DR STE 100, WINSTON SALEM, NC 27103
(336) 883-0029
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2015-01078
NC
208VP0000X
Pain Medicine Physician
Primary
2015-01078
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245282441
—
NC
Enumeration date
05/16/2006
Last updated
07/19/2024
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