Provider Demographics
NPI:1225671746
Name:KINARD, CAMERON
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:KINARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAMERON
Other - Middle Name:
Other - Last Name:BLANTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21 TURTLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-3152
Mailing Address - Country:US
Mailing Address - Phone:828-698-6774
Mailing Address - Fax:
Practice Address - Street 1:740 W FIRE TOWER RD STE 113
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-8477
Practice Address - Country:US
Practice Address - Phone:252-329-8800
Practice Address - Fax:252-329-8866
Is Sole Proprietor?:No
Enumeration Date:2019-10-28
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP18174225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist