Doctor Name: | FRANCES M KINKEAD |
NPI Number: | 1114044617 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNM |
License Number: | #53 ANP |
Business Practice Address: | 3412 Glacier Hwy Juneau, AK - 998019501 |
Business Phone Number: | 9074653353 |
Business Fax Number: | |
Mailing Address: | 19299 Randall Rd, JUNEAU |
State: | AK |
Postal Code: | 998018209 |
Phone Number: | 9074651258 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | #53 ANP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |