Individual
ELAINE I KINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
212 S FLORIDA ST, BUSHNELL, FL 33513-6703
(352) 793-2441
(352) 793-3282
Mailing address
117 W ALEXANDER ST, PMB # 387, PLANT CITY, FL 33563
(813) 754-7756
(813) 754-7565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3204652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302165300
—
FL
01
—
35207U
MEDICARE GROUP NUMBER
FL
01
—
500008032
MEDICARE RAILROAD
FL
01
—
660209600
MEDICAID GROUP NUMBER
FL
01
—
Y6709
BCBS
FL
Enumeration date
12/22/2006
Last updated
03/26/2013
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