MICHAEL KINKADE

COLUMBIA, MO
NPI1588774889
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2003002314)
Enumeration Date2006-08-30
Last Update Date2021-10-25
Business Address
MICHAEL KINKADE
1605 E BROADWAY STE 110
COLUMBIA, MO 65201-8023
Phone number: 573-815-8130
Mailing Address
MICHAEL KINKADE
1605 E BROADWAY STE 110
COLUMBIA, MO 65201-8023
Phone number: 573-815-8130
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