Provider Demographics
NPI:1932701695
Name:KINARD, KRISTINA (GNP-BC)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:KINARD
Suffix:
Gender:F
Credentials:GNP-BC
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:
Other - Last Name:ENTREKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:82 DEVONSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:MILLS RIVER
Mailing Address - State:NC
Mailing Address - Zip Code:28759-5502
Mailing Address - Country:US
Mailing Address - Phone:864-313-9869
Mailing Address - Fax:
Practice Address - Street 1:3864 SWEETEN CREEK RD
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-3136
Practice Address - Country:US
Practice Address - Phone:828-681-0904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC268109363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology