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Individual

MR. REID KINCAID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
250 ARSENAL ST, AUGUSTA, ME 04330-5742
(207) 779-7484
(207) 287-6123
Mailing address
581 S STRONG RD, FARMINGTON, ME 04938-5108
(207) 778-9901

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA769
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA769
LICENSE
ME
Enumeration date
10/05/2006
Last updated
03/30/2013
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