Provider Demographics
NPI:1295425940
Name:KIRKWOOD, LINDY MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:LINDY
Middle Name:MARIE
Last Name:KIRKWOOD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LINDY
Other - Middle Name:MARIE
Other - Last Name:WENGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:14300 MUNDY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-5106
Mailing Address - Country:US
Mailing Address - Phone:317-565-7347
Mailing Address - Fax:
Practice Address - Street 1:14300 MUNDY DR STE 100
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-5106
Practice Address - Country:US
Practice Address - Phone:317-565-7347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08003384A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor