Provider Demographics
NPI:1548587512
Name:TURNER, KINCADE DAPHNE (MD)
Entity Type:Individual
Prefix:DR
First Name:KINCADE
Middle Name:DAPHNE
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KINCADE
Other - Middle Name:DAPHNE
Other - Last Name:MASTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 278980
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-341-7685
Mailing Address - Fax:585-341-4220
Practice Address - Street 1:2400 CLINTON AVE S BLDG G
Practice Address - Street 2:SUITE 2
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2668
Practice Address - Country:US
Practice Address - Phone:585-341-7685
Practice Address - Fax:585-341-4220
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269725207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine