Provider Demographics
NPI:1154716397
Name:KINCAID, HOLLY KATHRYN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:KATHRYN
Last Name:KINCAID
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:110 MEDICAL PARK DR
Mailing Address - Street 2:QUICK RX
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-1956
Mailing Address - Country:US
Mailing Address - Phone:912-748-3194
Mailing Address - Fax:912-748-8190
Practice Address - Street 1:110 MEDICAL PARK DR
Practice Address - Street 2:QUICK RX
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-1956
Practice Address - Country:US
Practice Address - Phone:912-748-3194
Practice Address - Fax:912-748-8190
Is Sole Proprietor?:No
Enumeration Date:2015-04-04
Last Update Date:2015-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024795183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist