Individual
MRS. ANNIE MARY KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235
(214) 369-7661
(214) 369-2328
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235
(214) 369-7661
(214) 369-2328
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP129288
TX
363LP0200X
Pediatric Nurse Practitioner
AP129288
TX
Other
Enumeration date
12/01/2015
Last updated
08/02/2023
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