| Doctor Name: | MS. DELLA M KINCAID |
| NPI Number: | 1760602270 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 1027282 |
| Business Practice Address: | 95 Edmonds Lane Russell Springs, KY - 426429529 |
| Business Phone Number: | 2708667848 |
| Business Fax Number: | 2708667848 |
| Mailing Address: | 95 Edmonds Lane, RUSSELL SPRINGS |
| State: | KY |
| Postal Code: | 426429529 |
| Phone Number: | 2708662720 |
| Fax Number: | 2708667848 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 1027282 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |