JODI KINKEAD


Address: 1275 21st Ave N, Myrtle Beach, SC 29577-7514
Phone: 8434489977

JODI KINKEAD (NPI# 1467833558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467833558
Entity Type Individual
Full Name JODI KINKEAD
Other Name STEVEN K WHITE SR.
Practice Address 1275 21st Ave N
Myrtle Beach
SC 29577-7514
Practice Telephone 8434489977
Mailing Telephone 8434489977
Enumeration Date 2015-06-15
Last Update Date 2015-06-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MD10836 SC Other Service Providers

Office Location

Street Address 1275 21ST AVE N
City MYRTLE BEACH
State SC
Zip Code 29577-7514

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659325371 Steven K White Surgery 1275 21st Ave N, Myrtle Beach, SC 29577-7429 2006-05-19
1881905032 Carolina Coastal Family Medicine Pa Clinic/Center 1275 21st Ave N, Building 2, Myrtle Beach, SC 29577-7429 2010-06-23
1003096058 Carolina Coastal Plastic and Reconstructive Surgery, Inc. Surgery 1275 21st Ave N, Build #1, Myrtle Beach, SC 29577-7429 2007-11-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124536446 Well Care Home Health of The Lowcountry Home Health 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 2018-01-22
1518470913 Guillot Enterprises, LLC Hearing Instrument Specialist 1294 Professional Dr., Suite C, Myrtle, SC 29577 2017-11-08
1598288227 Ryan Shepherd Pharmacist 1705 South Kings Highway, Myrtle Beach, SC 29577 2017-07-25
1184176554 Shannon Long Counselor 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 2016-11-01
1265898191 Coastal Carolina Infectious Disease, LLC Internal Medicine 1110 London St Ste 102, Myrtle Beach, SC 29577 2016-01-07
1548639933 Susan Lang Social Worker 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 2015-09-16
1043600893 Kenneth Edward Smith Counselor 1125 48th Avenue North, Myrtle Beach, SC 29577 2015-02-02
1902203615 Sc Nursing Services LLC Home Infusion 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 2014-11-24
1881007946 Intercoastal Endo, PC Dentist 4382 Oleander Dr, Myrtle Beach, SC 29577 2014-06-06
1891115739 Julie Hite Pharmacist 540 Seaboard Street, Myrtle Beach, SC 29577 2014-04-18
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578803672 Felicia Squires Specialist 3941 Saint Ives Rd Unit 911, Myrtle Beach, SC 29588-1174 2013-02-26
1457603938 David Scott Lawrence Specialist 514 Alder St, Suite 6, Myrtle Beach, SC 29577-3854 2012-10-09
1467731406 Gamal S Boutros Md Specialist 605 Briarwood Dr, Suite E, Myrtle Beach, SC 29572-6734 2011-08-09
1205014990 Patricia Ann Esposito Specialist 7719 N Kings Hwy, Myrtle Beach, SC 29572-3042 2008-02-05
1881884708 Lindsey Pritchard Chappell Specialist 121 Gateway Rd., Suite B, Myrtle Beach, SC 29526 2007-07-26
1619904752 Deborah Cook Specialist 3675 Spruce Dr, Myrtle Beach, SC 29577-5005 2006-06-26
1649245358 John M Davis Specialist 849 82nd Pkwy, Myrtle Beach, SC 29572-4614 2006-02-17
1952385288 Coastal Cardiovascular Surgery, LLC Specialist 933 Medical Cir, Myrtle Beach, SC 29572-4116 2005-11-30
1740276971 Amy L King Specialist 4378 Oleander Dr, Myrtle Beach, SC 29577 2005-09-22
1760478242 Russell Frank Stahl Specialist 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572-4120 2005-09-21
Find all providers in MYRTLE BEACH

Competitor

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City MYRTLE BEACH
Zip Code 29577

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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