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Amanda Patterson Kindel

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

5003 Hardy St Ste 100, Hattiesburg, MS 39402-1331

PECOS Enrollment

This provider is enrolled in PECOS as AMANDA KINDEL.

Based on the most recent information from CMS, provider Amanda Patterson Kindel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1265003792
Provider Type
Individual
Full Name
Kindel, Amanda Patterson
Credential
FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/6/2021
Last Updated
9/18/2021

Contact Information

Practice Location

5003 Hardy St Ste 100, Hattiesburg, MS 39402-1331

(601) 475-9968

Unlisted Fax

Mailing Location

5003 Hardy St Ste 100, Hattiesburg, MS 39402-1331

(601) 475-9968

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 904727 Mississippi

Amanda Patterson Kindel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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