Kincaid, Richard A.

Kincaid, Richard A. is an individual health care provider with primary practice located at 1407 W Baddour Pkwy , Lebanon TN 37087-2513. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Kincaid, Richard A. can be contacted via phone (615) 444-6203.

Contact Information

Primary practice address
1407 W Baddour Pkwy Lebanon TN 37087-2513
Fax: (615) 444-6252
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14244 Tennessee

Profile Details

NPI number 1073742250
LBN Legal business name Kincaid, Richard A.
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2009
Last updated Aug 9th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073742250 NPPES
Tennessee Other 12242154 CAQH
Tennessee Other 8302071 CAQH
Tennessee Other 4298126 CAQH
Tennessee Other APN0000014244 CAQH
Tennessee Other RN0000155145 CAQH
Tennessee Other 3323087 CAQH

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