National Provider Identifier Database

CHARLES A KINCAID PSC
Plastic and Reconstructive Surgery


Contact Information

CHARLES A KINCAID PSC
4001 DUTCHMANS LN STE 6B
SUBURBAN MEDICAL PLAZA I
LOUISVILLE, KY40207-4738
Phone: 502-897-1891
Fax: 502-897-1893
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X
Surgery of the Hand 2086S0105X

* Indicates primary specialty

NPI Profile & details for CHARLES A KINCAID PSC

NPI Number 1467610402
Legal business name
LBN
CHARLES A KINCAID PSC
Authorized official CHERI KINCAID - (OFFICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 05/27/2008
Last updated 01/29/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 14164

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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