NPI 1104550268

Augusta R Kincart, PAC

Practitioner Medical Physician Assistant Keosauqua, IA

Practice location

Address: 304 Franklin St, Keosauqua, IA 52565-1164
Phone: (319) 293-3171
Fax: (319) 774-0382
Mailing address: 20794 212th St, Bloomfield, IA 52537-7202

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 124425 (IA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1104550268
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2022
Record last updated: 3 Mar 2026

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.