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

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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