TIMOTHY E KINKADE

PELLA, IA
NPI1417902909
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IA  058017)
Enumeration Date2006-05-23
Last Update Date2012-05-02
Business Address
-- TIMOTHY E KINKADE CRNA
404 JEFFERSON ST
PELLA, IA 50219-1257
Phone number: 641-628-6634
Mailing Address
-- TIMOTHY E KINKADE CRNA
8900 INDIAN CREEK PKWY SUITE 500
OVERLAND PARK, KS 66210-1554
Phone number: 913-642-4900