IndividualActive
Kevin Moran, RN BSN
NPI 1700645678 · Critical Care Medicine Registered Nurse · Fayetteville, GA
Provider details
- NPI number
- 1700645678
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- RN BSN
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN215073 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
215 Pine Knott Rd
Fayetteville, GA 30214-3249
Phone: (404) 933-7234
Approximate (ZIP-level) locationGet directions
Mailing address
215 Pine Knott Rd
Fayetteville, GA 30214-3249
Registry dates
- Enumerated
- 2024-03-14
- Last updated
- 2024-03-14
- Certified
- 2024-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.