Kinkade, Russell William
Kinkade, Russell William is an sole proprietor health care provider with primary practice located at 6214 Washington Avenue Suite C 10, Racine WI 53406. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kinkade, Russell William can be contacted via phone (262) 989-5228.Contact Information
Primary practice address
6214 Washington Avenue Suite C 10
Racine WI 53406
Phone: (262) 989-5228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1296 | Wisconsin |
Profile Details
| NPI number | 1033295571 |
|---|---|
| LBN Legal business name | Kinkade, Russell William |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | May 30th, 2023 - about 3 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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