Organization
CHARLES A KINCAID PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERI KINCAID (OFFICE ADMINISTRATOR)
(502) 897-1891
Entity
Organization
Contact information
Practice address
4001 DUTCHMANS LN STE 6B, SUBURBAN MEDICAL PLAZA I, LOUISVILLE, KY 40207-4738
(502) 897-1891
(502) 897-1893
Mailing address
4001 DUTCHMANS LN STE 6B, SUBURBAN MEDICAL PLAZA I, LOUISVILLE, KY 40207-4738
(502) 897-1891
(502) 897-1893
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
14164
KY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
14164
KY
Other
Enumeration date
05/27/2008
Last updated
01/29/2009
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