MEDICARE: KINDORA MEDICAL & WOUNDS PLLC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1538057484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINDORA MEDICAL & WOUNDS PLLC

Provider Business Mailing Address
First Line	:	9890 S MARYLAND PKWY STE 275
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7169
Country	:	US
Telephone Number	:	702-625-6455
Fax Number	:	702-648-8932

Provider Business Practice Location Address
First Line	:	9890 S MARYLAND PKWY STE 275
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-7169
Country	:	US
Telephone Number	:	702-625-6455
Fax Number	:	702-648-8932

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	ALECIA GRIMES
Credential	:	DNP, APRN, ACNPC-AG
Telephone Number	:	702-625-6455

Provider Enumeration Date	:	06/26/2025
Last Update Date	:	12/10/2025

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