Provider Demographics
NPI:1043871890
Name:KINARD, LYNDSEY NICOLE
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:NICOLE
Last Name:KINARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 PR 6138
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75979
Mailing Address - Country:US
Mailing Address - Phone:409-224-6341
Mailing Address - Fax:
Practice Address - Street 1:114 PR 6138
Practice Address - Street 2:
Practice Address - City:WOODVILLE
Practice Address - State:TX
Practice Address - Zip Code:75979
Practice Address - Country:US
Practice Address - Phone:409-224-6341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide