Individual
TIMOTHY J KINKEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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