Individual
BROOKLYN FAITH KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
372 MONT PHILLIPS RD, SHADY SPRING, WV 25918-8104
(304) 362-1979
Mailing address
372 MONT PHILLIPS RD, SHADY SPRING, WV 25918-8104
(304) 362-1979
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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