Individual
GRACE ALLENA KINKADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 270-4181
Mailing address
13657 S 36TH WAY, PHOENIX, AZ 85044-4556
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
325124
AZ
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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