Individual
DR. MATTHEW C KINCADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
2013004671
MO
208800000X
Urology Physician
Primary
E-12884
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396963658
—
MO
05
—
196652001
—
AR
01
—
431560263
TRICARE
MO
01
—
P01159463
RR MCR
MO
Enumeration date
04/23/2007
Last updated
02/28/2023
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