Healthcare Provider Details
I. General information
NPI: 1366301889
Provider Name (Legal Business Name): KINDRED PAIN AND WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/20/2026
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3425 AUSTIN BLUFFS PKWY STE 100
COLORADO SPRINGS CO
80918-5701
US
IV. Provider business mailing address
3425 AUSTIN BLUFFS PKWY STE 100
COLORADO SPRINGS CO
80918-5701
US
V. Phone/Fax
- Phone: 719-487-5829
- Fax:
- Phone: 719-487-5829
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208VP0000X |
| Taxonomy | Pain Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERIC
PAPALINI
Title or Position: OWNER
Credential:
Phone: 719-487-5829