Kinkead, Thomas M

Kinkead, Thomas M is an individual health care provider with primary practice located at 100 Brickhill Ave , South Portland ME 04106-1999. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Kinkead, Thomas M can be contacted via phone (207) 773-1728.

Contact Information

Primary practice address
100 Brickhill Ave South Portland ME 04106-1999
Phone: (207) 773-1728
Fax: (207) 772-4062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD13629 Maine
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X MD13629 Maine

Profile Details

NPI number 1851347314
LBN Legal business name Kinkead, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Feb 22nd, 2012 - about 12 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 1851347314 NPPES
Maine MEDICAID 275280099
Maine MEDICAID 30200189

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