Provider Demographics
NPI:1801009048
Name:LORI KINDLE
Entity Type:Organization
Organization Name:LORI KINDLE
Other - Org Name:KINDLE CHIROPRACTIC CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:D
Authorized Official - Last Name:KINDLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-495-4255
Mailing Address - Street 1:PO BOX 4367
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33338
Mailing Address - Country:US
Mailing Address - Phone:954-495-4255
Mailing Address - Fax:954-491-2296
Practice Address - Street 1:2940 EAST COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:FT LAUDERALE
Practice Address - State:FL
Practice Address - Zip Code:33308
Practice Address - Country:US
Practice Address - Phone:954-495-4255
Practice Address - Fax:954-491-2296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8333111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6326Medicare ID - Type Unspecified