ELLEN AZUCENA KINCAID

LOUISVILLE, KY
NPI1912673435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  3016416)
Enumeration Date2021-08-17
Last Update Date2021-08-17
Business Address
ELLEN AZUCENA KINCAID PMHNP
2650 W BROADWAY
LOUISVILLE, KY 40211-1333
Phone number: 502-589-8723
Mailing Address
ELLEN AZUCENA KINCAID PMHNP
1013 HICKORY SWITCH RD
LA GRANGE, KY 40031-8921
Phone number: 502-758-0029
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