Provider Demographics
NPI:1033863667
Name:KINCAID, HAYLEY (PA-C)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:KINCAID
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:494 HUNTINGTON CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2911
Mailing Address - Country:US
Mailing Address - Phone:606-335-5868
Mailing Address - Fax:
Practice Address - Street 1:494 HUNTINGTON CT
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2911
Practice Address - Country:US
Practice Address - Phone:606-335-5868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant