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General NPI Number Information
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NPI Number | 1316144256
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Entity Type | Individual
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Provider Name | JAMES F KINKADE DDS
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Gender | Male
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2525 W 16TH ST SUITE A
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City | GREELEY
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State | CO
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Zip | 80634-4903
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Country | US
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Telephone | 970-352-2343
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 W 16TH ST SUITE A
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City | GREELEY
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State | CO
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Zip | 80634-4903
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Country | US
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Telephone | 970-352-2343
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9445
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License Number State | CO
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