Provider Demographics
NPI:1902358211
Name:KINDELAN, HELEN (PA-C)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:KINDELAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 NE 140TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-3528
Mailing Address - Country:US
Mailing Address - Phone:305-793-0891
Mailing Address - Fax:
Practice Address - Street 1:3540 N PINE ISLAND RD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6637
Practice Address - Country:US
Practice Address - Phone:954-653-3722
Practice Address - Fax:954-653-3728
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9109817363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant