Individual
MRS. AMY ELLIS KINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
130 BAKER ST N, BLACKVILLE, SC 29817-2426
(803) 284-1045
(803) 284-3094
Mailing address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 592-3250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24084
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7029
—
SC
01
—
SCI941
MEDICARE
SC
Enumeration date
06/10/2020
Last updated
01/11/2024
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