Provider Demographics
NPI:1659086700
Name:KINDELL, AMY L
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:KINDELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4636 TROY SIDNEY RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-9102
Mailing Address - Country:US
Mailing Address - Phone:937-332-9993
Mailing Address - Fax:
Practice Address - Street 1:4636 TROY SIDNEY RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-9102
Practice Address - Country:US
Practice Address - Phone:937-332-9993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle