Individual
JOY J KINDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101259312
VA
2085R0202X
Diagnostic Radiology Physician
30834
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100031481
PHP TNCARE
TN
01
—
300114876
RAILROAD MEDICARE
TN
01
—
3146755
BCBS
TN
05
—
3851540
—
TN
01
—
64027048
KENTUCKY MEDICAID
KY
01
—
7209282
VIRGINIA MEDICAID
VA
01
—
89063JP
NORTH CAROLINA
NC
Enumeration date
05/04/2006
Last updated
01/09/2020
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