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NPI Code Detail

MEDICARE: KINDLY LLC

MEDICARE: KINDLY LLC
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
1207LP2900XPain Medicine (Anesthesiology) Physician
2174400000XSpecialist
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1487446324
Entity Type Code : Organization
Provider Name (Legal Business Name) : KINDLY LLC
Provider Business Mailing Address
First Line : 5097 S 900 E STE 100
Second Line :
City : MURRAY
State : UT
Zip : 84117-5725
Country : US
Telephone Number : 801-851-5554
Fax Number : 833-464-2575
Provider Business Practice Location Address
First Line : 5097 S 900 E STE 100
Second Line :
City : MURRAY
State : UT
Zip : 84117-5725
Country : US
Telephone Number : 801-851-5554
Fax Number : 833-464-2575
Authorized Official
Title or Position : ADMIN
Name : AJ YERGENSEN
Credential : MBA
Telephone Number : 435-986-9369
Provider Enumeration Date : 05/19/2025
Last Update Date : 01/28/2026

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Directions to “KINDLY LLC ” Practice Location

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