Organization
JOSEPH P. KINCAID, M.D.
Active
Other names
dba Grand Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH PAUL KINCAID M.D. (OWNER)
(509) 455-8220
Entity
Organization
Contact information
Practice address
1402 S GRAND BLVD, SPOKANE, WA 99203-2247
(509) 455-8220
(509) 455-9172
Mailing address
1402 S GRAND BLVD, SPOKANE, WA 99203-2247
(509) 455-8220
(509) 455-9172
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00029893
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033046
—
ID
05
—
7088651
—
WA
Enumeration date
04/02/2007
Last updated
08/22/2020
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