Kinkade, Russell William
Kinkade, Russell William is an sole proprietor health care provider with primary practice located at 6214 Washington Avenue Suite C 10, Racine WI 53406. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kinkade, Russell William can be contacted via phone (262) 989-5228.Contact Information
Primary practice address
6214 Washington Avenue Suite C 10
Racine WI 53406
Phone: (262) 989-5228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1296 | Wisconsin |
Profile Details
| NPI number | 1033295571 |
|---|---|
| LBN Legal business name | Kinkade, Russell William |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | May 30th, 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.
Popular Providers
-
Zimmel, Tammy Lynn
3701 Durand Ave Suite 325, Racine WI 53405-4458 -
Hayden, D Martin
840 Lake Ave Racine, Racine WI 53403-1566 -
Cohen-Smith, Deborah Lynn
1320 Wisconsin Ave , Racine WI 53403-1978 -
Wendorf, Anthony Donald
840 Lake Avenue, Suite 101 , Racine WI 53403-1550 -
Adamczak, Jeffrey Allen
6929 Mariner Dr Ste. D, Racine WI 53406-3938 -
Ladhani, Shamin Catherine Jaffer
1320 Wisconsin Ave , Racine WI 53403-1978 -
Poe, Martin James
5200 Washington Ave Suite 203, Racine WI 53406-4238 -
Degenhart, Joyce Shirley
11 Greenwood Ct , Racine WI 53402-1248