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Individual

ALLISON KINCAID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
111 FAYETTE AVE, FAYETTEVILLE, WV 25840-1219
(304) 574-1176
(304) 574-4109
Mailing address
111 FAYETTE AVE, FAYETTEVILLE, WV 25840-1219
(304) 574-1176
(304) 574-4109

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
91893
WV

Other

Enumeration date
11/01/2019
Last updated
11/01/2019
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