Individual provider · Type 1 NPI

John Lessard Kinkead, P.A.

Medical Physician Assistant · Brandon, FL

NPI number 1154473478 Active

Practice location

311 Noland Dr
Brandon, FL 33511-5719

Mailing address

5314 S Himes Ave
Tampa, FL 33611-3608

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNCCPA #1042240

Medical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1154473478

John Lessard Kinkead, P.A.'s National Provider Identifier is 1154473478, issued on Jan 17, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brandon, FL. The record was last updated on Aug 12, 2016.