Provider Demographics
NPI:1831651975
Name:KINCAID, JAMES ALLEN (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALLEN
Last Name:KINCAID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:A
Other - Last Name:KINCAID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3920A BRIDGE RD STE 207
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-1118
Mailing Address - Country:US
Mailing Address - Phone:757-983-2200
Mailing Address - Fax:757-983-2201
Practice Address - Street 1:3920A BRIDGE RD STE 207
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-1118
Practice Address - Country:US
Practice Address - Phone:757-983-2200
Practice Address - Fax:757-983-2201
Is Sole Proprietor?:No
Enumeration Date:2019-04-05
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA116033261207Q00000X
VA0101275376207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine