Shayla Dalene Kincade | Topeka, KS • PECOS Search

Shayla Dalene Kincade

Community Health Worker

Other Service Providers

325 SW Frazier Ave, Topeka, KS 66606-1963

PECOS Enrollment

Based on the most recent information from CMS, provider Shayla Dalene Kincade does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1205132024
Provider Type
Individual
Full Name
Kincade, Shayla Dalene
Title
Mrs.

Gender
Female
Sole Proprietor
No
Enumeration Date
1/27/2011
Last Updated
5/8/2013

Contact Information

Practice Location

325 SW Frazier Ave, Topeka, KS 66606-1963

(785) 232-0160

Mailing Location

325 SW Frazier Ave, Topeka, KS 66606-1963

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 172V00000X Primary	Description Community Health Worker Other Service Providers	License Unlisted Issuer