Basic Information
Provider Information
NPI: 1487173431
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KINDELAN
FirstName: ALAINA
MiddleName: LYN
NamePrefix:  
NameSuffix:  
Credential: NP
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Mailing Information
Address1: 326 WASHINGTON ST
Address2:  
City: NORWICH
State: CT
PostalCode: 063602740
CountryCode: US
TelephoneNumber: 8608898331
FaxNumber:  
Practice Location
Address1: 326 WASHINGTON ST
Address2:  
City: NORWICH
State: CT
PostalCode: 06360
CountryCode: US
TelephoneNumber: 8608898331
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/11/2017
LastUpdateDate: 08/14/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP2300XAPRN01636RIN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
363LA2200X8137CTY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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