Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Moultrie

Individual provider Pharmacy Technician · NPI 1306290069

Kevin Moultrie is a Pharmacy Technician in Woodstock, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2016
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Practice location Address checks out

12182 Highway 92
Woodstock, GA 30188-4885 Not confirmed with CMS for 10 years — call before visiting
Phone: (770) 591-9402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence PHTC014196 (GA)

Record details

NPI number1306290069
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 19, 2016
Last updated in NPPESApril 19, 2016

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