Kinard-Moon, Dana Maria

Kinard-Moon, Dana Maria is an individual health care provider with primary practice located at 1501 Milstead Rd Ne Ste 110 , Conyers GA 30012-3849. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kinard-Moon, Dana Maria can be contacted via phone (770) 760-9949.

Contact Information

Primary practice address
1501 Milstead Rd Ne Ste 110 Conyers GA 30012-3849
Phone: (770) 760-9949
Fax: (770) 760-9995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN125593 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN125593 Georgia

Profile Details

NPI number 1821055765
LBN Legal business name Kinard-Moon, Dana Maria
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated May 14th, 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 1821055765 NPPES
Georgia Other 20250I4999 MEDICARE PTAN
Georgia MEDICAID 585149633G MEDICARE PTAN

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