Individual
SARAH J. KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 W KENYON RD STE B, URBANA, IL 61801-1006
(217) 819-3376
(217) 729-7788
Mailing address
1111 W KENYON RD STE B, URBANA, IL 61801-1006
(217) 819-3376
(217) 729-7788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-003257
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279500
MEDICARE GROUP
IL
01
—
P00650145
RAILROAD MEDICARE
IL
Enumeration date
08/11/2008
Last updated
10/24/2022
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