Doctor Name: | DR. JESSE JENNINGS KINCAID |
NPI Number: | 1093835829 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 6363 |
Business Practice Address: | 250 Hospital Pl Soldotna, AK - 996697559 |
Business Phone Number: | 9077144580 |
Business Fax Number: | 9077144995 |
Mailing Address: | 250 Hospital Pl, SOLDOTNA |
State: | AK |
Postal Code: | 996697559 |
Phone Number: | 9077144580 |
Fax Number: | 9077144995 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085N0700X |
License Number: | 6363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Neuroradiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |