Individual
TIMOTHY J KINKEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 NORTH STREET, HYANNIS, MA 02601
(508) 775-8282
(508) 775-1414
Mailing address
130 NORTH ST, STE A, HYANNIS, MA 02601-3825
(508) 775-8282
(508) 775-1414
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
210782
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190560
—
MA
01
—
0901063
UNITED HEALTH
—
01
—
172723
PILGRIM
—
01
—
200045931
RAILROAD MEDICARE
—
01
—
210782
TUFTS
—
01
—
3227468
AETNA
—
01
—
8377149002
CIGNA
—
01
—
J24109
BCBS
—
Enumeration date
08/24/2005
Last updated
04/14/2017
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