CHARLES A KINCAID PSC – NPI #1467610402
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

CHARLES A KINCAID PSC is a surgeon located in LOUISVILLE, KY. NPPES has assigned the NPI number 1467610402 to CHARLES A KINCAID PSC on May 27, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 17 years ago on Jan 29, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES A KINCAID PSC below.

NPI Profile for
CHARLES A KINCAID PSC

NPI Number
1467610402
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLES A KINCAID PSC
Primary location
4001 DUTCHMANS LN STE 6B
SUBURBAN MEDICAL PLAZA I
LOUISVILLE, KY 40207-4738
Phone: (502) 897-1891 Fax: (502) 897-1893
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHERI KINCAID
OFFICE ADMINISTRATOR
Phone: (502) 897-1891
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
KY 14164
2086S0105X
- Surgery / Surgery of the Hand
KY 14164

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.