Colleen Kinnard, MS, CCC-SLP, LMT is a
Massage Therapist based in Tyrone, Georgia. Colleen Kinnard is licensed to practice in Georgia (license number MT015158) and her current practice location is
2025 Castle Lake Dr, Tyrone, Georgia. She can be reached at her office (for appointments etc.) via phone at
(470) 215-0543.
NPI number for Colleen Kinnard is 1457706475 and her current mailing address is 2025 Castle Lake Dr, Tyrone, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457706475.
Healthcare Provider's Profile
Full Name | Colleen Kinnard |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 2025 Castle Lake Dr, Tyrone, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457706475
- Provider Enumeration Date: 04/27/2016
- Last Update Date: 02/12/2025
Medical Identifiers
Medical identifiers for Colleen Kinnard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457706475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SLP008597 (Georgia) | Secondary |
225700000X | Massage Therapist | MT015158 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colleen Kinnard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Colleen Kinnard, MS, CCC-SLP, LMT 2025 Castle Lake Dr, Tyrone, GA 30290-2215 Ph: (470) 215-0543 | Colleen Kinnard, MS, CCC-SLP, LMT 2025 Castle Lake Dr, Tyrone, GA 30290-2215 Ph: (470) 215-0543 |
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