Individual
ALICIA R W KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2001 N JEFFERSON AVE STE 203, MOUNT PLEASANT, TX 75455-2310
(903) 434-8880
(903) 434-8881
Mailing address
2001 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455-2338
(903) 434-8044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2016020856
MO
208600000X
Surgery Physician
Primary
T9426
TX
208600000X
Surgery Physician
TL.0006478
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016020856
MISSOURI BOARD OF HEALING ARTS
MO
01
—
TL.0006478
PHYSICIAN TRAINING LICENSE
CO
Enumeration date
06/23/2016
Last updated
04/27/2026
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