Kinkaid, Stanley Gordon
Kinkaid, Stanley Gordon is an individual health care provider with primary practice located at 160 Kimel Forest Dr Ste 100 , Winston Salem NC 27103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kinkaid, Stanley Gordon can be contacted via phone (336) 883-0029.Contact Information
Primary practice address
160 Kimel Forest Dr Ste 100
Winston Salem NC 27103
Phone: (336) 883-0029
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 2015-01078 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2015-01078 | North Carolina |
Profile Details
| NPI number | 1245282441 |
|---|---|
| LBN Legal business name | Kinkaid, Stanley Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245282441 | NPPES |
| North Carolina | MEDICAID | 1245282441 |
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