Individual
GARY R. KINDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
356110 E 930 RD, STROUD, OK 74079-5184
(918) 968-9531
Mailing address
356110 E 930 RD, STROUD, OK 74079-5184
(918) 968-9531
(907) 631-5099
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
6365
AK
207Q00000X
Family Medicine Physician
Primary
15655
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K161799
MEDICARE NO.
AK
01
—
MD0340
MEDICAID NO.
AK
Enumeration date
12/26/2006
Last updated
03/07/2023
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