Individual
DR. CHRISTOPHER EUGENE KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 252-8555
(304) 252-0109
Mailing address
252 RURAL ACRES DR, BECKLEY, WV 25801-3503
(304) 253-2628
(304) 252-1790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23679
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2033791
MEDICARE PTAN
WV
Enumeration date
06/28/2007
Last updated
04/15/2022
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