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Contact Information

RUSSELL W KINKADE JR, PSYD
6214 WASHINGTON AVENUE
SUITE C 10
RACINE, WI53406
 Phone: 262-989-5228
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RUSSELL W KINKADE JR · (Male)

NPI # 1033295571
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 10/27/2006
Last updated 07/16/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 1296
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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