MEDICARE: KINDEL RAE POEPPEL

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	376K00000X	Nurse's Aide	47480	ND

General Provider Information

NPI Number	:	1194662460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KINDEL RAE POEPPEL

Provider Business Mailing Address
First Line	:	658 CENTRAL AVE N
Second Line	:
City	:	VALLEY CITY
State	:	ND
Zip	:	58072-2545
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	658 CENTRAL AVE N
Second Line	:
City	:	VALLEY CITY
State	:	ND
Zip	:	58072-2545
Country	:	US
Telephone Number	:	406-696-1489
Fax Number	:

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

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ KINDEL RAE POEPPEL ” Practice Location

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