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General NPI Number Information
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NPI Number | 1407142078
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Entity Type | Individual
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Provider Name | MICHELE RAE KINCAID PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 4606 FM 1960 RD W STE 250
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City | HOUSTON
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State | TX
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Zip | 77069-4617
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Country | US
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Telephone | 281-315-1300
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Fax | 281-315-1301
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Provider Business Mailing Address
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Address Line | 4606 FM 1960 RD W STE 250
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City | HOUSTON
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State | TX
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Zip | 77069-4617
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Country | US
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Telephone | 281-315-1300
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Fax | 281-315-1301
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 42798
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS51659
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14480
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License Number State | AL
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