Individual
JOYCE KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
437 W HUDSON AVE, MADISON HEIGHTS, MI 48071-3974
(248) 802-1791
Mailing address
437 W HUDSON AVE, MADISON HEIGHTS, MI 48071-3974
(248) 802-1791
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703034153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703034153
STATE
MI
Enumeration date
03/10/2014
Last updated
03/10/2014
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