Individual
DOUGLAS WAYNE KINDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
129 MEISTER WAY, SACRAMENTO, CA 95819-1921
(916) 329-9210
(916) 329-9218
Mailing address
PO BOX 19133, SACRAMENTO, CA 95819-0133
(916) 329-9210
(916) 329-9218
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G60717
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G607170
—
CA
Enumeration date
07/25/2006
Last updated
03/13/2025
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