Healthcare Provider Details

I. General information

NPI: 1770471690
Provider Name (Legal Business Name): KINCADE HEALTH MANAGEMENT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E MTN SPRINGS RD
CABOT AR
72023-2493
US

IV. Provider business mailing address

1 KINCADE LN
CABOT AR
72023-7179
US

V. Phone/Fax

Practice location:
  • Phone: 501-286-7720
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMANDA KINCADE
Title or Position: OWNER
Credential: APRN
Phone: 501-743-9021