Healthcare Provider Details

I. General information

NPI: 1295775468
Provider Name (Legal Business Name): BELINDA KINCAID APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4242 SIX FORKS RD
RALEIGH NC
27609-6084
US

IV. Provider business mailing address

4242 SIX FORKS RD
RALEIGH NC
27609-6084
US

V. Phone/Fax

Practice location:
  • Phone: 919-631-7148
  • Fax: 844-809-4233
Mailing address:
  • Phone: 919-631-7148
  • Fax: 844-809-4233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number5016201
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5016201
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: