Provider Demographics
NPI:1346718772
Name:KINDLA, KAYLA ASHLEY (OD)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:ASHLEY
Last Name:KINDLA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 GOODHUE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-2535
Mailing Address - Country:US
Mailing Address - Phone:210-843-4661
Mailing Address - Fax:
Practice Address - Street 1:2601 S IH 35 STE C100
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-7336
Practice Address - Country:US
Practice Address - Phone:512-246-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-03
Last Update Date:2018-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9617T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist