MRS. KYNDRA LYNN PETRICK (NPI# 1730665167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730665167 |
| Entity Type | Individual |
| Full Name | MRS. KYNDRA LYNN PETRICK |
| Credential | ARNP |
| Practice Address |
8560 Big Mangrove Dr Fort Myers FL 33908 |
| Mailing Address |
8560 Big Mangrove Dr Fort Myers FL 33908-7694 |
| Practice Telephone | 2398490584 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ARNP9336762 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
8560 BIG MANGROVE DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| 1902185226 | Yuneidys Rodriguez | Massage Therapist | 8750 Gladiolus Drive, Suite 5, Fort Myers, FL 33908 | 2011-08-04 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134407737 | Douglas A Newland Md Pa | Psychiatry & Neurology | 2780 Cleveland Ave Ste 810, Fort Myers, FL 33901-5817 | 2011-07-30 |
| 1376634246 | Schwartz and Schwartz Mdpa | Psychiatry & Neurology | 38 Barkley Cir, Suite 2, Fort Myers, FL 33907-7526 | 2006-09-27 |
| 1700802311 | Naili Duan | Psychiatry & Neurology | 9730 Commerce Center Ct, Fort Myers, FL 33908-3615 | 2006-07-15 |
| 1992774327 | Nima Mowzoon | Psychiatry & Neurology | 9110 College Pointe Court, Fort Myers, FL 33919 | 2006-03-16 |
| 1982673091 | Douglas Alan Newland | Psychiatry & Neurology | 13601 Plantation Rd Ste 3, Fort Myers, FL 33912-4437 | 2006-03-14 |
| 1881684074 | Shubhangi Atul Chumble | Psychiatry & Neurology | 9110 College Pointe Ct, Fort Myers, FL 33919 | 2005-10-27 |
| 1437151172 | Edward Lebretta Davis | Psychiatry & Neurology | 6100 Winkler Rd, Suite C, Fort Myers, FL 33919-8126 | 2005-08-12 |
| 1902805856 | David B Sudderth | Psychiatry & Neurology | 3210 Cleveland Ave, Suite 100, Fort Myers, FL 33901-7182 | 2005-07-21 |
| 1417950635 | Chris J Marino | Psychiatry & Neurology | 12670 Whitehall Dr, Fort Myers, FL 33907-3619 | 2005-05-23 |
| 1861495079 | William J Carracino | Psychiatry & Neurology | 13340 Metro Parkway, Suite 400, Fort Myers, FL 33966 | 2005-05-23 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on MRS. KYNDRA LYNN PETRICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.