Basic Information
| Provider Information | |||||||||
| NPI: | 1124351309 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KINDER | ||||||||
| FirstName: | MARINEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | WHNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 905 CHAPPARAL RD | ||||||||
| Address2: | |||||||||
| City: | HEWITT | ||||||||
| State: | TX | ||||||||
| PostalCode: | 766433616 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2546662017 | ||||||||
| FaxNumber: | 2546665638 | ||||||||
| Practice Location | |||||||||
| Address1: | 405 LONDONDERRY DR STE 310 | ||||||||
| Address2: | |||||||||
| City: | WACO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 767127922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2543996000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2009 | ||||||||
| LastUpdateDate: | 09/06/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | 509902 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
No ID Information.