Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. PHALANECIA FONDRIEA KINCAID, A2R7M5X9
Active Sole ProprietorMS. PHALANECIA FONDRIEA KINCAID, A2R7M5X9 is a Clinical Medical Laboratory healthcare provider located in FOREST, Mississippi. NPI 1558972281 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · FOREST, MS
Registration Details
- NPI Number
- 1558972281
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2020 (6.0310231327799 yrs)
- Last Updated
- Aug 14, 2020
- License
-
A2R7M5X9 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
402 S MAIN STFOREST, MS, 390744137Browse MS providers · Browse ZIP 39074
- Phone
- 6017017753
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Other Clinical Medical Laboratory Providers in FOREST, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. TEMEKA DENSON | LPN, CCMA | 1134742505 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.