Russell William Kinkade Jr. (NPI# 1033295571, PAC ID# 0446437602) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1033295571 |
| PAC ID by PECOS | 0446437602 |
| Professional Enrollment ID | I20150824001097 |
| Full Name | Russell William Kinkade Jr. |
| Address |
6214 Washington Ave 10c Mount Pleasant WI 53406-3986 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6214 Washington Ave, 10c, Mount Pleasant, WI 53406-3986 |
| Street Address |
6214 WASHINGTON AVE 10C |
| City | MOUNT PLEASANT |
| State | WI |
| Zip | 53406-3986 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara B Mizer | Clinical Social Worker | 6214 Washington Ave, C10, Racine, WI 53406-3986 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack A Plate | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Susan E Moore Schneider | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Karla J Bidstrup | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Renee M Beck-santiago | Nurse Practitioner | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Kathleen R Rothmeyer | Clinical Social Worker | Lakeside Family Therapy Services Ltd | 4810 Northwestern Ave, Racine, WI 53406-1504 |
| Daniel R Algrim | Chiropractic | 5332 Spring St, Mount Pleasant, WI 53406-2910 | |
| John R Fisher | Chiropractic | 5332 Spring St, Mount Pleasant, WI 53406-2910 | |
| Brian J Trautman | Chiropractic | 5332 Spring St, Mount Pleasant, WI 53406-2910 | |
| Justin J Woods | Family Medicine | 5401 Spring St, Mt Pleasant, WI 53406-2911 | |
| Tammy L Zimmel | Psychologist, Clinical | 1135 N Green Bay Rd, Mount Pleasant, WI 53406-3501 | |
| Find all physicians in zip 53406 | |||
| City | MOUNT PLEASANT |
| Zip Code | 53406 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | MOUNT PLEASANT + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Russell William Kinkade Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.