Individual
ROBERT SCOTT KINKADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M .D.
Contact information
Practice address
651 W MINGUS AVE, SUITE 1D, COTTONWOOD, AZ 86326-4006
(928) 649-1000
(928) 649-3929
Mailing address
651 W. MINGUS AVE, STE 1D, COTTONWOOD, AZ 86326
(928) 649-1000
(928) 649-3929
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26410
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020046038
RAILROAD MEDICARE ID NUMB
AZ
05
—
442153
—
AZ
01
—
AZ0863930
BCBS ID NUMBER
AZ
Enumeration date
07/03/2006
Last updated
07/09/2007
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