Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Kinkade

Individual provider Family Medicine Physician · NPI 1588774889

Michael Kinkade is a Family Practice in Columbia, Missouri. Qualified in 1994, 32 years ago. Practices with Boone Physician Services LLC, a 240-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
32
Licensed in
MO
In the registry since
2006
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Practice location Address checks out

1605 E Broadway Ste 110
Columbia, MO 65201-8023
Phone: (573) 815-8130
Fax: (573) 815-8149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2003002314 (MO)

Record details

NPI number1588774889
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021
Mailing address1605 E Broadway Ste 110, Columbia, MO 65201-8023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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