Individual
JENNIFER KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 FLAT TOP RD, SHADY SPRING, WV 25918-8615
(304) 256-4570
Mailing address
105 ADAIR ST, BECKLEY, WV 25801-3733
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
46638
WV
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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