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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 Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES A KINCAID PSC

NPI # 1467610402
LBN Legal business name CHARLES A KINCAID PSC
Authorized official CHERI KINCAID - (OFFICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2008
Last updated 01/29/2009 - About 17 years ago
Identifiers
KY License # 14164
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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