Individual
GEORGINA E KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2799 E GRAND BLVD, DETROIT, MI 48202
(313) 916-0467
Mailing address
81 REYNOSA, SAN ANTONIO, TX 78261-2314
(313) 903-5663
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
4704275815
MI
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
1054571
TX
Other
Enumeration date
11/18/2020
Last updated
11/22/2022
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