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Individual

MICHAEL KINCAID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMBT

Contact information

Practice address
2601 OAKCREST AVE STE D, GREENSBORO, NC 27408-4719
(336) 546-6424
Mailing address
1007 W MCGEE ST, GREENSBORO, NC 27403-2967
(828) 712-6058

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17044
NC

Other

Enumeration date
11/16/2020
Last updated
03/16/2021
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