Individual
EDWARD HAL KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3348
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-3348
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
009600395
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131TN
BCBS
NC
05
—
2005367000
—
WV
05
—
5877008
—
VA
01
—
7373435
AETNA
—
01
—
800064
PARTNERS
NC
05
—
89131TN
—
NC
01
—
B7664
MEDCOST
NC
05
—
Q95096
—
SC
Enumeration date
11/28/2005
Last updated
08/20/2010
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