Provider Demographics
NPI:1306372339
Name:KAPPEL ELITE LLC
Entity Type:Organization
Organization Name:KAPPEL ELITE LLC
Other - Org Name:LISA LINDSAY C.F.N.P, MSN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:810-785-4034
Mailing Address - Street 1:G4007 W COURT ST
Mailing Address - Street 2:STE G2
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3560
Mailing Address - Country:US
Mailing Address - Phone:810-875-4034
Mailing Address - Fax:810-785-3254
Practice Address - Street 1:G4007 W COURT ST
Practice Address - Street 2:STE G2
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3560
Practice Address - Country:US
Practice Address - Phone:810-875-4034
Practice Address - Fax:810-785-3254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty