Individual
LYNETTE J KINDSVATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
190 N UNION ST, STE 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222
Mailing address
190 N UNION ST, STE 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-174665
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000192695
ANTHEM BCBS INDV NUMBER
OH
01
—
100153
EMPLOYER KAISER GROUP #
OH
01
—
120771
KAISER PERMANENTE INDV #
OH
05
—
2036855
—
OH
01
—
2080224
UNITED HEALTHCARE GROUP #
OH
01
—
34-0891295
EMPLOYER FEDERAL TAX ID #
OH
05
—
7091249
—
OH
01
—
730564
BUCKEYE COMMUNITY HLTH PL
OH
Enumeration date
05/10/2006
Last updated
09/19/2019
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