Doctor Name: | MRS. STEFANIE L. KINCEY |
NPI Number: | 1033517719 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1114414 |
Business Practice Address: | 207 Haven Dr Dothan, AL - 363012919 |
Business Phone Number: | 3347933319 |
Business Fax Number: | 3346993349 |
Mailing Address: | 207 Haven Dr, Dothan Hypertension - Nephrology, Associates, P.c DOTHAN |
State: | AL |
Postal Code: | 363012919 |
Phone Number: | 3347933319 |
Fax Number: | 3346993349 |
NPI Enumeration Date: | 12/12/2014 |
NPI Last Update Date: | 12/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WN0300X |
License Number: | 1114414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Nephrology |
Taxonomy Definition: |