Provider Demographics
NPI:1811931959
Name:KINARD, HARRY W (MD)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:W
Last Name:KINARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HARRY
Other - Middle Name:W
Other - Last Name:KINARD
Other - Suffix:X
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:391 SERPENTINE DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-3083
Mailing Address - Country:US
Mailing Address - Phone:864-585-8221
Mailing Address - Fax:864-216-4290
Practice Address - Street 1:391 SERPENTINE DR
Practice Address - Street 2:SUITE 500
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3083
Practice Address - Country:US
Practice Address - Phone:864-585-8221
Practice Address - Fax:864-216-4290
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11652174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC116528Medicaid
SC116528Medicaid