Kincade, Andrea

Kincade, Andrea is an individual health care provider with primary practice located at 1100 Renfrew Ln S , O Fallon MO 63366-4582. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Kincade, Andrea can be contacted via phone (678) 665-1563.

Contact Information

Primary practice address
1100 Renfrew Ln S O Fallon MO 63366-4582
Phone: (678) 665-1563
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 2021050217 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA002360 Georgia

Profile Details

NPI number 1013676360
LBN Legal business name Kincade, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2021
Last updated Jan 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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