Provider Demographics
NPI:1710185228
Name:WOMEN'S HEALTHCARE ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:WOMEN'S HEALTHCARE ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KINCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:662-492-0103
Mailing Address - Street 1:810 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-9319
Mailing Address - Country:US
Mailing Address - Phone:662-492-0103
Mailing Address - Fax:662-492-8777
Practice Address - Street 1:810 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773-9319
Practice Address - Country:US
Practice Address - Phone:662-492-0103
Practice Address - Fax:662-492-8777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS16546207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09981846Medicaid
F97363Medicare UPIN
MS09981846Medicaid