C.m. Kinnard, LLC

NPI #1689928525 in Kathleen, Georgia

Provider Information

NPI Number: 1689928525
Entity Type: Organization
Organization Name: C.m. Kinnard, LLC
Primary Specialty: Surgery
Enumeration Date: Oct 30, 2012
Last Updated: Oct 30, 2012

Practice Location

Address: 1118 HIGHWAY 96 WEST
Address 2: SUITE 1
City: Kathleen
State: Georgia
ZIP Code: 31047
Phone: (478) 287-6574

Authorized Official

Name: CHRISTOPHER M. KINNARD, MD
Title: PHYSICIAN/OWNER
Phone: (478) 287-6574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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