Provider Demographics
NPI:1316537335
Name:KINDLE, KANSIA MICHELLE (CDCA, FAMILY LIFE CO)
Entity Type:Individual
Prefix:
First Name:KANSIA
Middle Name:MICHELLE
Last Name:KINDLE
Suffix:
Gender:F
Credentials:CDCA, FAMILY LIFE CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23712 FELCH ST
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44128-5226
Mailing Address - Country:US
Mailing Address - Phone:216-338-3324
Mailing Address - Fax:
Practice Address - Street 1:23712 FELCH ST
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44128-5226
Practice Address - Country:US
Practice Address - Phone:216-338-3324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-23
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator