Provider Demographics
NPI:1821653999
Name:KINDRED, ARDEN CEDAR (LM, CPM)
Entity Type:Individual
Prefix:
First Name:ARDEN
Middle Name:CEDAR
Last Name:KINDRED
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ELLEN
Other - Last Name:MAYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LM, CPM
Mailing Address - Street 1:1738 BRACKETT AVE
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701
Mailing Address - Country:US
Mailing Address - Phone:715-201-4720
Mailing Address - Fax:
Practice Address - Street 1:1738 BRACKETT AVE
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701
Practice Address - Country:US
Practice Address - Phone:715-201-4720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-04
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI263-49176B00000X
WI263176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife