MEDICARE: DR. DIAN J KINCH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	16546	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881688828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIAN J KINCH M.D.

Provider Business Mailing Address
First Line	:	WOMEN'S HEALTHCARE ASSOCIATES, PLLC
Second Line	:	810 MEDICAL CENTER DRIVE
City	:	WEST POINT
State	:	MS
Zip	:	39773-9319
Country	:	US
Telephone Number	:	662-492-0103
Fax Number	:	662-492-8777

Provider Business Practice Location Address
First Line	:	WOMEN'S HEALTHCARE ASSOCIATES, PLLC
Second Line	:	810 MEDICAL CENTER DRIVE
City	:	WEST POINT
State	:	MS
Zip	:	39773-9319
Country	:	US
Telephone Number	:	662-492-0103
Fax Number	:	662-492-8777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	07/08/2007

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