Kinkade, Robert Scott

Kinkade, Robert Scott is an individual health care provider with primary practice located at 651 W Mingus Ave Suite 1D, Cottonwood AZ 86326-4006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kinkade, Robert Scott can be contacted via phone (928) 649-1000.

Contact Information

Primary practice address
651 W Mingus Ave Suite 1D Cottonwood AZ 86326-4006
Phone: (928) 649-1000
Fax: (928) 649-3929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 26410 Arizona

Profile Details

NPI number 1255360889
LBN Legal business name Kinkade, Robert Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 9th, 2007 - about 19 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 1255360889 NPPES
Arizona MEDICAID 442153
Arizona Other AZ0863930
Arizona Other 020046038

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