Provider Demographics
NPI:1396708897
Name:KINDMAN, LOUIS ALLEN (MD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:ALLEN
Last Name:KINDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 PERIMETER PARK DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8421
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:102 PROFESSIONAL PARK
Practice Address - Street 2:#A
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-2501
Practice Address - Country:US
Practice Address - Phone:919-603-1665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9300187207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8948923Medicaid
NC060044783OtherMEDICARE RAILROAD
NC8948923Medicaid