Individual
MRS. MARY JEANNE KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDCES
Contact information
Practice address
560 W. MITCHELL ST, SUITE 300, PEROSKEY, MI 49770-2278
(231) 487-7158
(231) 487-5985
Mailing address
1025 OLD ORCHARD RD, HARBOR SPRINGS, MI 49740-8630
(513) 659-9880
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 1636
OH
Other
Enumeration date
03/07/2007
Last updated
10/21/2021
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