| Kindred Recovery Pllc | |
|
146 Deweese St Lexington KY 40507-1921 | |
| (859) 785-8585 | |
| (859) 888-9980 |
| Full Name | Kindred Recovery Pllc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 146 Deweese St, Lexington, Kentucky |
| Authorized Official Name and Position | Michael G Kindred (OWNER) |
| Authorized Official Contact | 8597858585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindred Recovery Pllc 146 Deweese St Lexington KY 40507-1921 Ph: (859) 785-8585 | Kindred Recovery Pllc 146 Deweese St Lexington KY 40507-1921 Ph: (859) 785-8585 |
| NPI Number | 1811558091 |
|---|---|
| Provider Enumeration Date | 06/27/2019 |
| Last Update Date | 11/19/2019 |
| Medicare PECOS PAC ID | 0446682116 |
|---|---|
| Medicare Enrollment ID | O20191118003201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811558091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael G Kindred |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306996079 PECOS PAC ID: 2769546092 Enrollment ID: I20160819001626 |
| Provider Name | Paige Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740846344 PECOS PAC ID: 2264864982 Enrollment ID: I20200130003250 |
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