Kincaid, Kathleen Elizabeth

Kincaid, Kathleen Elizabeth is an individual health care provider with primary practice located at 1125 Se Washington Street , Pullman WA 99164-9686. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kincaid, Kathleen Elizabeth can be contacted via phone (509) 335-3575.

Contact Information

Primary practice address
1125 Se Washington Street Pullman WA 99164-9686
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP61189503 Washington

Profile Details

NPI number 1114598794
LBN Legal business name Kincaid, Kathleen Elizabeth
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2021
Last updated May 13th, 2022 - about 4 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 1114598794 NPPES
Washington Other AP61189503 WASHINGTON STATE DEPARTMENT OF HEALTH
Washington Other F06210690 WASHINGTON STATE DEPARTMENT OF HEALTH

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