Search › Mississippi › 291U00000X

Phalanecia Kincaid, A2R7M5X9

NPI 1558972281 · on the registry since 2020 · sole proprietor

Practice

Address
402 S Main St
Forest, MS 39074
Phone
(601) 701-7753

Registry record

Primary taxonomy
291U00000X
291U00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-14

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 Mississippi