Individual
ANNA L KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1257 TERRY AVE, FAYETTEVILLE, WV 25840-5444
(304) 731-2377
Mailing address
1257 TERRY AVE, FAYETTEVILLE, WV 25840-5444
(304) 731-2377
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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