Kincade, Thomas A

Kincade, Thomas A is an individual health care provider with primary practice located at 1001 S 41St St E , Muskogee OK 74403-6253. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kincade, Thomas A can be contacted via phone (918) 781-6500.

Contact Information

Primary practice address
1001 S 41St St E Muskogee OK 74403-6253
Phone: (918) 781-6500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20788 Oklahoma

Profile Details

NPI number 1104897719
LBN Legal business name Kincade, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated May 7th, 2008 - about 18 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 1104897719 NPPES
Oklahoma MEDICAID 100125660C
Oklahoma MEDICAID 100125660D

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