Tyson Wade Kincaid
NPI #1366150153 in Beckley, West Virginia
Provider Information
- NPI Number
- 1366150153
- Entity Type
- Individual
- Name
- Tyson Wade Kincaid
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Nov 9, 2022
- Last Updated
- Nov 9, 2022
Practice Location
- Address
- 345 PRINCE ST STE 1
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-4515
- Phone
- (304) 254-8709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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