JODI KINKEAD
NPI 1467833558
Specialist in Myrtle Beach, SC

Active since June 15, 2015
1275 21ST AVE N, MYRTLE BEACH, SC 29577(843) 448-9977 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jodi Kinkead NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODI KINKEAD (NPI 1467833558) is an individual specialist in Myrtle Beach, South Carolina, licensed in South Carolina (MD10836) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1467833558
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJODI KINKEAD
Location Address1275 21ST AVE NMyrtle Beach, SC 29577-7514
Mailing Address1275 21st Ave NMyrtle Beach, SC 29577-7514 · (843) 448-9977
Sole ProprietorYes
Enumeration DateJune 15, 2015
NPI 1467833558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in SC · MD10836
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.

1275 21ST AVE N, Myrtle Beach, SC 29577

Other Names 1

Professional Name (2)Steven K White M.d

Other Identifiers 1

Medicare UPIN1003096058SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Plastic and Reconstructive Surgery)
1275 21ST AVE N, BUILD #1
MYRTLE BEACH, SC 29577
Surgery (Plastic and Reconstructive Surgery)
1275 21ST AVE N
MYRTLE BEACH, SC 29577
Clinic/Center (Primary Care)
1275 21ST AVE N, BUILDING 2
MYRTLE BEACH, SC 29577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodi Kinkead's NPI number?

The NPI number for Jodi Kinkead is 1467833558. It was assigned to this individual provider in the NPPES registry on June 15, 2015. The provider is also known as Steven K White M.D.

Where is Jodi Kinkead located?

Jodi Kinkead practices at 1275 21st Ave N, Myrtle Beach, SC 29577. The listed phone number is (843) 448-9977.

What is Jodi Kinkead's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jodi Kinkead was last updated on June 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.