Individual
WAYLON MATTHEW KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
37456 COAL RIVER ROAD, WHITESVILLE, WV 25209-0187
(304) 854-1321
(304) 854-1031
Mailing address
37456 COAL RIVER RD, WHITESVILLE, WV 25209-0187
(304) 854-1321
(304) 854-1031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
747
WV
Other
Enumeration date
10/17/2006
Last updated
06/27/2023
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