MEDICARE: KINDAL LEE ANDREWS APRN

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	363LF0000X	Family Nurse Practitioner	1108162	TX

General Provider Information

NPI Number	:	1083067631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KINDAL LEE ANDREWS APRN

Provider Business Mailing Address
First Line	:	5317 S PADRE ISLAND DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-4103
Country	:	US
Telephone Number	:	361-301-5022
Fax Number	:	775-782-0073

Provider Business Practice Location Address
First Line	:	5317 S PADRE ISLAND DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-4103
Country	:	US
Telephone Number	:	361-301-5022
Fax Number	:

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

Provider Enumeration Date	:	07/19/2016
Last Update Date	:	12/02/2025

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