NPI 1205010790

Mary Diane Kinsella, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Conyers, GA

Practice location

Address: 1412 Milstead Ave NE Dept of, Conyers, GA 30012
Phone: (678) 423-1550
Fax: (678) 423-1550
Mailing address: 5700 Southwyck Blvd, Toledo, OH 43614-1509

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 64527 (GA)

Other Pathology providers in Georgia →

Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 002586 (GA)

Registry record

NPI: 1205010790
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2007
Record last updated: 10 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.