Individual
MS. GAIL LYNN KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7988 ST RT 377, CHESTERHILL, CHESTERHILL, OH 43728-4372
(740) 554-3254
Mailing address
4610 LICK RUN RD, STOCKPORT, OH 43787-9237
(740) 516-1736
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
RH717399
OH
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114752
—
OH
Enumeration date
02/23/2021
Last updated
02/23/2021
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