Kincade, Matthew C
Kincade, Matthew C is an individual health care provider with primary practice located at 3333 S Pinnacle Hills Pkwy Ste 300A , Rogers AR 72758-9000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kincade, Matthew C can be contacted via phone (479) 271-7077.Contact Information
Primary practice address
3333 S Pinnacle Hills Pkwy Ste 300A
Rogers AR 72758-9000
Phone: (479) 271-7077
Fax: (479) 271-7035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 2013004671 | Missouri |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | E-12884 | Arkansas |
Profile Details
| NPI number | 1396963658 |
|---|---|
| LBN Legal business name | Kincade, Matthew C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Feb 28th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396963658 | NPPES |
| Missouri | Other | P01159463 | RR MCR |
| Missouri | MEDICAID | 1396963658 | RR MCR |
| Missouri | MEDICAID | 196652001 | RR MCR |
| Missouri | Other | 431560263 | RR MCR |
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