Individual
DR. DAVID MICHAEL KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1000 W 29TH ST, SUITE 302, SOUTH SIOUX CITY, NE 68776-3153
(402) 494-5533
(402) 494-5534
Mailing address
1000 W 29TH ST, SUITE 302, SOUTH SIOUX CITY, NE 68776-3153
(402) 494-5533
(402) 494-5534
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
836
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0672565492
BLUE SHIELD
NE
05
—
0964577
—
IA
Enumeration date
07/26/2006
Last updated
10/26/2007
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