Provider Demographics
NPI:1073851424
Name:KINDRED, DEBORAH SUZANNE (RRT)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:SUZANNE
Last Name:KINDRED
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1243 RIDGEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45409-1234
Mailing Address - Country:US
Mailing Address - Phone:937-620-7419
Mailing Address - Fax:
Practice Address - Street 1:1243 RIDGEVIEW AVE
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45409-1234
Practice Address - Country:US
Practice Address - Phone:937-299-0565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-19
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRCP91912279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care