Provider Demographics
NPI:1992098594
Name:KINDT, KATHERINE LYNNE (DDS)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:LYNNE
Last Name:KINDT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-4183
Mailing Address - Country:US
Mailing Address - Phone:831-238-3913
Mailing Address - Fax:
Practice Address - Street 1:1061 S STATE ROUTE 260
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4624
Practice Address - Country:US
Practice Address - Phone:928-239-3254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57280122300000X
AZ10494122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist