Kincaid, Rosa A

Kincaid, Rosa A is an sole proprietor health care provider with primary practice located at 3016 Locust St Suite 104, Saint Louis MO 63103-1372. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kincaid, Rosa A can be contacted via phone (314) 531-0008.

Contact Information

Primary practice address
3016 Locust St Suite 104 Saint Louis MO 63103-1372
Fax: (314) 531-0145
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MOR9N99 Missouri
Allopathic & Osteopathic Physicians / General Practice 208D00000X MOR9N99 Missouri

Profile Details

NPI number 1932109402
LBN Legal business name Kincaid, Rosa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2005
Last updated Jan 10th, 2022 - about 2 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 1932109402 NPPES
Other 217061 GHP
Other 0100669 GHP

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