RUSSELL WILLIAM KINKADE

RACINE, WI
NPI1033295571
Other NameRUSS KINKADE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WI  1296)
Enumeration Date2006-10-27
Last Update Date2023-05-30
Business Address
Dr. RUSSELL WILLIAM KINKADE PsyD
6214 WASHINGTON AVENUE SUITE C 10
RACINE, WI 53406
Phone number: 262-989-5228
Mailing Address
Dr. RUSSELL WILLIAM KINKADE PsyD
S55W29307 HOLIDAY POINT
WAUKESHA, WI 53189-9026
Phone number: 262-989-5228