Healthcare Provider Details

I. General information

NPI: 1538057484
Provider Name (Legal Business Name): KINDORA MEDICAL & WOUNDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9890 S MARYLAND PKWY STE 275
LAS VEGAS NV
89183-7169
US

IV. Provider business mailing address

9890 S MARYLAND PKWY STE 275
LAS VEGAS NV
89183-7169
US

V. Phone/Fax

Practice location:
  • Phone: 702-625-6455
  • Fax: 702-648-8932
Mailing address:
  • Phone: 702-625-6455
  • Fax: 702-648-8932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: ALECIA GRIMES
Title or Position: NURSE PRACTITIONER
Credential: DNP, APRN, ACNPC-AG
Phone: 702-625-6455