Provider Demographics
NPI:1457235467
Name:KINARD, KAREN ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:KINARD
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 GA HIGHWAY 125 S
Mailing Address - Street 2:
Mailing Address - City:TIFTON
Mailing Address - State:GA
Mailing Address - Zip Code:31794-9018
Mailing Address - Country:US
Mailing Address - Phone:229-520-2316
Mailing Address - Fax:
Practice Address - Street 1:891 GA HIGHWAY 125 S
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31794-9018
Practice Address - Country:US
Practice Address - Phone:229-520-2316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN297412363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily