Provider Demographics
NPI:1881688828
Name:KINCH, DIAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:DIAN
Middle Name:J
Last Name:KINCH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:WOMEN'S HEALTHCARE ASSOCIATES, PLLC
Mailing Address - Street 2:810 MEDICAL CENTER DRIVE
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:WOMEN'S HEALTHCARE ASSOCIATES, PLLC
Practice Address - Street 2:810 MEDICAL CENTER DRIVE
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
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS16546207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00121589Medicaid
MS00121589Medicaid