MEDICARE: KAREN ANN KINARD FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN297412	GA

General Provider Information

NPI Number	:	1457235467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN ANN KINARD FNP-C

Provider Business Mailing Address
First Line	:	891 GA HIGHWAY 125 S
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31794-9018
Country	:	US
Telephone Number	:	229-520-2316
Fax Number	:

Provider Business Practice Location Address
First Line	:	891 GA HIGHWAY 125 S
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31794-9018
Country	:	US
Telephone Number	:	229-520-2316
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	04/17/2026

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