Organization
KINCAID MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSA KINCAID M.D. (OWNER)
(314) 531-0008
Entity
Organization
Contact information
Practice address
3016 LOCUST ST, SUITE 104, SAINT LOUIS, MO 63103-1372
(314) 531-0008
(314) 531-0145
Mailing address
3016 LOCUST ST, SUITE 104, SAINT LOUIS, MO 63103-1372
(314) 531-0008
(314) 531-0145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9N99
MO
Other
Enumeration date
03/28/2007
Last updated
02/02/2017
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