Individual
MS. DEBRA COLLEEN KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102461
NC
363AS0400X
Surgical Physician Assistant
102461
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102737
—
NC
Enumeration date
04/11/2006
Last updated
07/21/2022
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