Provider Demographics
NPI:1912390600
Name:KINDSTAR, INC.
Entity Type:Organization
Organization Name:KINDSTAR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-380-0311
Mailing Address - Street 1:PO BOX 50805
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76206-0805
Mailing Address - Country:US
Mailing Address - Phone:940-380-0311
Mailing Address - Fax:940-380-9605
Practice Address - Street 1:5201 INDIANA AVE
Practice Address - Street 2:200CENTRAL
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-4200
Practice Address - Country:US
Practice Address - Phone:806-791-2100
Practice Address - Fax:806-791-2105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty