Russ Kinkade Psy D Sc
NPI #1992195192 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1992195192
- Entity Type
- Organization
- Organization Name
- Russ Kinkade Psy D Sc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 27, 2015
- Last Updated
- Aug 1, 2025
Practice Location
- Address
- 6214 WASHINGTON AVE
- Address 2
- C-10
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-3986
- Phone
- (262) 989-5228
Authorized Official
- Name
- DR. RUSSELL WILLIAM KINKADE JR., PSY.D.
- Title
- PRESIDENT
- Phone
- (262) 989-5228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center |
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