NPI 1073218046

Kelly Kincaide, PAC

Practitioner Physician Assistant Jefferson, LA

Practice location

Address: 1514 Jefferson Hwy, Jefferson, LA 70121-2429
Phone: (504) 842-3000
Mailing address: 611 Okeefe Ave APT 3n27, New Orleans, LA 70113-1976

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 335836 (LA)

Other Physician Assistant providers in Louisiana →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1073218046
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2023
Record last updated: 19 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.