Provider Demographics
NPI:1306996079
Name:KINDRED, MICHAEL G (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:G
Last Name:KINDRED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:146 DEWEESE ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40507-1921
Mailing Address - Country:US
Mailing Address - Phone:859-785-8585
Mailing Address - Fax:859-785-8585
Practice Address - Street 1:146 DEWEESE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40507-1921
Practice Address - Country:US
Practice Address - Phone:859-785-8585
Practice Address - Fax:859-785-8585
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY483692084A0401X, 2083A0300X
NH13748208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery