Individual
JOHN C KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-8800
Mailing address
545 BARNHILL DR, EH125, INDIANAPOLIS, IN 46202-5112
(317) 274-8800
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01026276A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087163
ANTHEM
IN
05
—
100067210
—
IN
01
—
P00862463
RAILROAD MEDICARE
IN
Enumeration date
07/27/2006
Last updated
01/13/2021
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