Individual
SCOTT A KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 RANDOLPH ST, SUITE 120, RADFORD, VA 24141-3047
(540) 731-3200
(540) 639-1048
Mailing address
701 RANDOLPH ST, SUITE 120, RADFORD, VA 24141-3047
(540) 731-3200
(540) 639-1048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-037030
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331721
ANTHEM
VA
05
—
5623499
—
VA
Enumeration date
11/10/2005
Last updated
08/12/2011
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