Individual
JOSIE KINKADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6045 YANCEYVILLE RD, LOUISA, VA 23093-4237
(540) 967-1905
Mailing address
PO BOX 2204, LOUISA, VA 23093-3704
(540) 967-1905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101045786
VA
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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