Provider Demographics
NPI:1003516840
Name:KIND HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:KIND HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARTHOLOMAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-650-1988
Mailing Address - Street 1:1800 E JUDGE PEREZ DR STE E
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-5666
Mailing Address - Country:US
Mailing Address - Phone:504-354-9545
Mailing Address - Fax:504-354-8108
Practice Address - Street 1:1800 E JUDGE PEREZ DR STE E
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-5666
Practice Address - Country:US
Practice Address - Phone:504-354-9545
Practice Address - Fax:504-354-8108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty