Individual
CAROLINE KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8245
(423) 869-3611
Mailing address
1081 RACCOON LN, PINEY FLATS, TN 37686-2929
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
227987
TN
Other
Enumeration date
06/26/2023
Last updated
02/06/2025
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