Provider Demographics
NPI:1033517719
Name:KINCEY, STEFANIE L (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:STEFANIE
Middle Name:L
Last Name:KINCEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 HAVEN DR
Mailing Address - Street 2:DOTHAN HYPERTENSION - NEPHROLOGY, ASSOCIATES, P.C
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-2919
Mailing Address - Country:US
Mailing Address - Phone:334-793-3319
Mailing Address - Fax:334-699-3349
Practice Address - Street 1:207 HAVEN DR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-2919
Practice Address - Country:US
Practice Address - Phone:334-793-3319
Practice Address - Fax:334-699-3349
Is Sole Proprietor?:No
Enumeration Date:2014-12-12
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1114414363L00000X, 163WN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WN0300XNursing Service ProvidersRegistered NurseNephrology