MEDICARE: KAREN MARIE KINDLER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA02611	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	88N287	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1326002205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN MARIE KINDLER PA-C

Provider Business Mailing Address
First Line	:	PO BOX 961205
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76161-1205
Country	:	US
Telephone Number	:	817-740-8400
Fax Number	:	817-378-3699

Provider Business Practice Location Address
First Line	:	1250 8TH AVENUE, SUITE 240
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4124
Country	:	US
Telephone Number	:	817-927-0456
Fax Number	:	817-927-4323

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	02/04/2015

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Directions to “ KAREN MARIE KINDLER PA-C” Practice Location

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