Shontae Kynard, is a
Licensed Practical Nurse based in Marion, Alabama. Shontae Kynard is licensed to practice in Alabama (license number 2-074014) and her current practice location is
109 W Cornelia St, Marion, Alabama. She can be reached at her office (for appointments etc.) via phone at
(205) 294-5361.
NPI number for Shontae Kynard is 1629758826 and her current mailing address is Po Box 1180, Marion, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629758826.
Provider's Profile
| Full Name | Shontae Kynard |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
|---|
| Location | 109 W Cornelia St, Marion, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629758826
- Provider Enumeration Date: 07/21/2023
- Last Update Date: 07/21/2023
Medical Identifiers
Medical identifiers for Shontae Kynard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629758826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 2-074014 (Alabama) | 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. Shontae Kynard 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 |
|---|
Shontae Kynard,
Po Box 1180,
Marion, AL 36756-1180
Ph: () - | Shontae Kynard,
109 W Cornelia St,
Marion, AL 36756-1603
Ph: (205) 294-5361 |
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