Kinkead, Jodi

Kinkead, Jodi is an sole proprietor health care provider with primary practice located at 1275 21St Ave N , Myrtle Beach SC 29577-7514. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kinkead, Jodi can be contacted via phone (843) 448-9977.

Contact Information

Primary practice address
1275 21St Ave N Myrtle Beach SC 29577-7514
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD10836 South Carolina

Profile Details

NPI number 1467833558
LBN Legal business name Kinkead, Jodi
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2015
Last updated Jun 15th, 2015 - about 10 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.

Request for update

Popular Providers