IndividualActive
Alexandra Kindred, PA-C
NPI 1366098188 · Physician Assistant · Bloomington, IL
Provider details
- NPI number
- 1366098188
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085007212 (IL)
Practice location
308 Saint Joseph Dr
Bloomington, IL 61701-3506
Phone: (309) 663-5050
Fax: (309) 662-3401
Mailing address
308 Saint Joseph Dr
Bloomington, IL 61701-3506
Registry dates
- Enumerated
- 2019-08-16
- Last updated
- 2019-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.