Provider Demographics
NPI:1770236713
Name:KINDER, CARL
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:
Last Name:KINDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR.
Mailing Address - Street 2:P.O.BOX 8100
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-8100
Mailing Address - Country:US
Mailing Address - Phone:304-598-4848
Mailing Address - Fax:304-598-4849
Practice Address - Street 1:1 MEDICAL CENTER DR.
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-8100
Practice Address - Country:US
Practice Address - Phone:304-598-4848
Practice Address - Fax:304-598-4849
Is Sole Proprietor?:No
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0006017183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist