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

Tyson Wade Kincaid

Individual provider Peer Specialist · NPI 1366150153

Tyson Wade Kincaid is a Peer Specialist in Beckley, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2022

Practice location Address checks out

345 Prince St Ste 1
Beckley, WV 25801-4515
Phone: (304) 254-8709
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (WV)

Record details

NPI number1366150153
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 9, 2022
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022
Mailing address317 2nd St, Beaver, WV 25813-9547

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