Individual
MR. CHAD BENTON KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P. , P.T.
Contact information
Practice address
1380 MONUMENT CT, FRUITA, CO 81521-3053
(970) 639-2606
Mailing address
1380 MONUMENT CT, FRUITA, CO 81521-3053
(970) 639-2606
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP003523
—
225100000X
Physical Therapist
5335
CO
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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