Healthcare Provider Details

I. General information

NPI: 1639073588
Provider Name (Legal Business Name): ALLISON MARIE KINCAID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 WEST UNIVERSITY AVE SCHOOL OF NURSING
MUNCIE IN
47306
US

IV. Provider business mailing address

2000 WEST UNIVERSITY AVE SCHOOL OF NURSING
MUNCIE IN
47306
US

V. Phone/Fax

Practice location:
  • Phone: 765-285-5571
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number28210417C
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: