MEDICARE: LORI D KINDLE DC

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	111N00000X	Chiropractor	CH8333	FL

General Provider Information

NPI Number	:	1558368563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI D KINDLE DC

Provider Business Mailing Address
First Line	:	110 N FEDERAL HWY
Second Line	:	608
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-1180
Country	:	US
Telephone Number	:	954-495-4449
Fax Number	:

Provider Business Practice Location Address
First Line	:	2382 N FEDERAL HWY
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33305-2562
Country	:	US
Telephone Number	:	954-495-4449
Fax Number	:

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	11/24/2008

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Directions to “ LORI D KINDLE DC” Practice Location

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