Boone, Kianna Tymoria

Boone, Kianna Tymoria is an sole proprietor health care provider with primary practice located at 608 S Lee St , Fitzgerald GA 31750-3217. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Boone, Kianna Tymoria can be contacted via phone (229) 472-2246.

Contact Information

Primary practice address
608 S Lee St Fitzgerald GA 31750-3217
Phone: (229) 472-2246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X 318-10178 Georgia

Profile Details

NPI number 1063036051
LBN Legal business name Boone, Kianna Tymoria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2020
Last updated Jun 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063036051 NPPES
Georgia Other 20070770 ARTICLE OF ORGANIZATION

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