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NPI Code Detail

MEDICARE: JAMES DONALD KINARD MD

MEDICARE:   JAMES DONALD KINARD  MD
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
12085R0001XRadiation Oncology Physician9300186NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3920003392OTHERNCRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1801835442
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES DONALD KINARD MD
Provider Business Mailing Address
First Line : 200 QUEENS RD STE 400
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-3264
Country : US
Telephone Number : 704-765-2578
Fax Number :
Provider Business Practice Location Address
First Line : 2400 W FRIENDLY AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-1109
Country : US
Telephone Number : 336-832-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 04/19/2024

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