Healthcare Provider Details

I. General information

NPI: 1427909548
Provider Name (Legal Business Name): ELIZABETH LAUREN KINDLE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 E LAKEWOOD ST STE 112
SPRINGFIELD MO
65810-2403
US

IV. Provider business mailing address

3317 S SOUTHLYN PL
SPRINGFIELD MO
65804-6435
US

V. Phone/Fax

Practice location:
  • Phone: 417-887-5500
  • Fax:
Mailing address:
  • Phone: 573-300-9924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026005517
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: