Individual
JOHN KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
423 GLENCO HOLLOW RD, KINCAID, WV 25119
(678) 296-0072
Mailing address
PO BOX 2, KINCAID, WV 25119-0002
(678) 296-0072
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001369
WV
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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