Basic Information
Provider Information
NPI: 1104273200
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KINDLER
FirstName: KATEE
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8840 COMMERCE PARK PL STE E
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 462683129
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2001 W 86TH ST
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 462601902
CountryCode: US
TelephoneNumber: 3173382345
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/18/2016
LastUpdateDate: 05/18/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X26025488AINY Pharmacy Service ProvidersPharmacist 
1835P0018X26025488AINN Pharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
1835P2201X26025488AINN    

No ID Information.


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