Provider Demographics
NPI:1578057410
Name:KINDLER, KEVIN EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:EDWARD
Last Name:KINDLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5608 WILKINS AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1282
Mailing Address - Country:US
Mailing Address - Phone:412-422-8762
Mailing Address - Fax:412-422-5258
Practice Address - Street 1:5608 WILKINS AVE STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1282
Practice Address - Country:US
Practice Address - Phone:412-422-8762
Practice Address - Fax:412-422-5258
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0024310207Q00000X
PA390200000X
PAMD481722207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program