National Provider Identifier

Mitchell Kincaid

Mitchell Kincaid is listed in the NPPES registry with a primary specialty of Pharmacist in Ithaca, NY and a listed phone number of (607) 277-5750.

NPI 1730728189Ithaca, NYPharmacist

Profile Overview

NPI
1730728189
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
January 02, 2020
Last Updated
January 02, 2020

Practice Location

  • 500 S Meadow St
  • Ithaca, NY 14850-5317

Phone: (607) 277-5750

Mailing Address

  • 1062 Dryden RD Apt 21
  • Ithaca, NY 14850-8800

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1730728189
Entity Type
Individual
Last Name
Kincaid
First Name
Mitchell
Mailing Street Address
1062 Dryden RD Apt 21
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-8800
Mailing Country
US
Practice Street Address
500 S Meadow St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5317
Practice Country
US
Practice Phone
(607) 277-5750
Enumeration Date
January 02, 2020
Last Updated
January 02, 2020
Sex
Male
Sole Proprietor
No
Certification Date
January 02, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)