Jodi Kinkead

NPI 1467833558 · on the registry since 2015 · sole proprietor

Practice

Address: 1275 21st Ave N
Myrtle Beach, SC 29577
Phone: (843) 448-9977
Organisation at this address: Myrtle Beach Dermatology
Carolina Coastal Family Medicine Pa
Carolina Coastal Plastic And Reconstructive Surgery, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 174400000X
174400000X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina