Provider Demographics
NPI:1073048807
Name:LINDER, KRISTY BEARDEN (DO)
Entity Type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:BEARDEN
Last Name:LINDER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:KRISTY
Other - Middle Name:MICHELLE
Other - Last Name:BEARDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:5223 DAVANTRY DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4522
Mailing Address - Country:US
Mailing Address - Phone:205-587-8688
Mailing Address - Fax:
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1627
Practice Address - Country:US
Practice Address - Phone:404-712-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-30
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA89125207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty