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Individual
JUSTIN KINDRICK
Active
Individual
JUSTIN KINDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143100
TN
363L00000X
Nurse Practitioner
16187
TN
363LF0000X
Family Nurse Practitioner
5020737
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5020737
NC
Other
Enumeration date
04/30/2007
Last updated
09/08/2026
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