Kincaid, Brandi Nicole

Kincaid, Brandi Nicole is an individual health care provider with primary practice located at 54 Hospital Dr , Osage Beach MO 65065-3050. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kincaid, Brandi Nicole can be contacted via phone (573) 302-2772.

Contact Information

Primary practice address
54 Hospital Dr Osage Beach MO 65065-3050
Fax: (573) 302-2264
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2011005105 Missouri

Profile Details

NPI number 1144527490
LBN Legal business name Kincaid, Brandi Nicole
Credentials MSN, APRN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2011
Last updated Apr 30th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144527490 NPPES
Missouri Other P01000137 RAIL ROAD MEDICARE
Missouri MEDICAID 425553609 RAIL ROAD MEDICARE

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