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Provider Information for 1316002249

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ELAINE I KINDER ARNP

Gender: FEMALE

Individual NPI: 1316002249

Calendar   Last Updated:  2013-03-26
  Certification Date: 

Details

Name Value
NPI 1316002249
Enumeration Date 2006-12-22
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 117 W ALEXANDER ST PMB # 387
PLANT CITY, FL 33563
United States

Phone: 813-754-7756 | Fax: 813-754-7565
View Map External Link
Primary Practice Address 212 S FLORIDA ST
BUSHNELL, FL 33513-6703
United States

Phone: 352-793-2441 | Fax: 352-793-3282
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other MEDICAID GROUP NUMBER FL 660209600
MEDICAID FL 302165300
Other MEDICARE GROUP NUMBER FL 35207U
Other MEDICARE RAILROAD FL 500008032
Other BCBS FL Y6709
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363L00000X - Nurse Practitioner FL ARNP3204652