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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSS KINKADE PSY D SC

Active Organization

RUSS KINKADE PSY D SC is a Clinic/Center organization located in MOUNT PLEASANT, Wisconsin. NPI 1992195192 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · MOUNT PLEASANT, WI

Registration Details

NPI Number
1992195192
Provider Type
Organization
NPI Issued
Jan 27, 2015 (11.564960505029 yrs)
Last Updated
Aug 1, 2025
License
1296 (WI)

Practice Information

Address
6214 WASHINGTON AVE
C-10
MOUNT PLEASANT, WI, 534063986
Browse WI providers · Browse ZIP 53406
Phone
2629895228
Fax
2628789285
Primary Specialty
Clinic/Center
261Q00000X
Additional Specialty
Clinic/Center

Other Clinic/Center Organizations in MOUNT PLEASANT, WI

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.