Healthcare Provider Details

I. General information

NPI: 1093695835
Provider Name (Legal Business Name): KINDURE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 WINTHROP ST S APT 153
SAINT PAUL MN
55119-5355
US

IV. Provider business mailing address

373 WINTHROP ST S APT 153
SAINT PAUL MN
55119-5355
US

V. Phone/Fax

Practice location:
  • Phone: 651-502-4520
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KASIN ALI KASIN
Title or Position: OWNER
Credential:
Phone: 651-502-4520