Individual
ROSA A KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6658 MEXICO RD, SAINT PETERS, MO 63376-4131
(314) 267-9082
Mailing address
2631 RUSSELL BLVD, SAINT LOUIS, MO 63104-2135
(314) 267-9082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MOR9N99
MO
208D00000X
General Practice Physician
MOR9N99
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100669
UNITED HEALTHCARE
—
01
—
217061
GHP
—
Enumeration date
07/27/2005
Last updated
08/07/2025
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