Active NPI
Kimberly G Kinard, MD
- Psychiatry Physician
- Columbia, SC
National Provider Identifier
1164683199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- LL30828
- Practice address
- 3555 Harden Street Ext Ste 141
Columbia, SC 29203-6894 - Phone
- (803) 818-3933
- Fax
- (803) 818-3933
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | LL30828 | SC | Primary |
Addresses
Primary practice location
3555 Harden Street Ext Ste 141
Columbia, SC 29203-6894
Mailing address
4505 Sandy Ridge Rd
Columbia, SC 29206-1351
Phone (803) 818-3933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL30828 | SC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1164683199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 SANDY RIDGE RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292061351",
"telephone_number": "803-818-3933",
"fax_number": "803-818-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 HARDEN STREET EXT STE 141",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036894",
"telephone_number": "803-818-3933",
"fax_number": "803-818-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINARD",
"first_name": "KIMBERLY",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "LL30828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.