TYSON WADE KINCAID NPI 1366150153

NPI Information

  • NPI: 1366150153
  • Provider Name: TYSON WADE KINCAID
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 345 PRINCE ST STE 1
    BECKLEY, WV
    ZIP 25801
  • Phone: (304) 254-8709

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NPI Details

Tyson Wade Kincaid is a peer specialist in Beckley, WV. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Tyson Wade Kincaid NPI is 1366150153. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

345 PRINCE ST STE 1
BECKLEY, WV
ZIP 25801-515
Phone: (304) 254-8709

The enumeration date for this NPI number is 11/9/2022 and was last updated on 11/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistWEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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