Kinsella, Mary Diane

Kinsella, Mary Diane is an individual health care provider with primary practice located at 1412 Milstead Ave Ne Dept Of , Conyers GA 30012. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Kinsella, Mary Diane can be contacted via phone (678) 423-1550.

Contact Information

Primary practice address
1412 Milstead Ave Ne Dept Of Conyers GA 30012
Phone: (678) 423-1550
Fax: (678) 423-1550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 002586 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 64527 Georgia

Profile Details

NPI number 1205010790
LBN Legal business name Kinsella, Mary Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2007
Last updated Aug 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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