Provider Demographics
NPI:1235125022
Name:BROWNING, KINDRA SUE (DO)
Entity Type:Individual
Prefix:DR
First Name:KINDRA
Middle Name:SUE
Last Name:BROWNING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9279
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33468-9279
Mailing Address - Country:US
Mailing Address - Phone:239-601-5055
Mailing Address - Fax:239-204-3861
Practice Address - Street 1:13691 METRO PKWY STE 400
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-4349
Practice Address - Country:US
Practice Address - Phone:239-440-6456
Practice Address - Fax:239-236-0337
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH34007683207R00000X
FLOS17993207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000330274OtherANTHEM PROVIDER #
OH2287592Medicaid
FL111051400Medicaid
OH7754368OtherAETNA PROVIDER #
OHP00223091OtherMEDICARE RAILROAD PIN
OH2287592Medicaid
OH000000330274OtherANTHEM PROVIDER #