| Kindelan Mcdanal & Associates | |
|
2320 Commerce Point Dr Lakeland FL 33801-6880 | |
| (863) 877-1855 | |
| (863) 646-6111 |
| Full Name | Kindelan Mcdanal & Associates |
|---|---|
| Speciality | Psychologist |
| Location | 2320 Commerce Point Dr, Lakeland, Florida |
| Authorized Official Name and Position | Cynthia S. Mcdanal (BUSINESS OWNER/MANAGER) |
| Authorized Official Contact | 8638771855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindelan Mcdanal & Associates 2320 Commerce Point Dr Lakeland FL 33801-6880 Ph: (863) 877-1855 | Kindelan Mcdanal & Associates 2320 Commerce Point Dr Lakeland FL 33801-6880 Ph: (863) 877-1855 |
| NPI Number | 1780951517 |
|---|---|
| Provider Enumeration Date | 11/22/2011 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Medicare PECOS PAC ID | 5597917450 |
|---|---|
| Medicare Enrollment ID | O20121129000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780951517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY2345 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | PY5297 (Florida) | Secondary |
| Provider Name | Cynthia S Mcdanal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205895471 PECOS PAC ID: 2466485487 Enrollment ID: I20050912000292 |
| Provider Name | Kevin M Kindelan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134198963 PECOS PAC ID: 9537130737 Enrollment ID: I20121212000586 |
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