Individual provider · Type 1 NPI

Kathie Kindred, APN

Nurse Practitioner · Peoria, IL

NPI number 1972199461 Active

Practice location

8940 N Wood Sage Rd
Peoria, IL 61615-7822

Fax (309) 243-3193

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209022456 (IL)
Family Nurse Practitioner 363LF0000X209022456 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1972199461

Kathie Kindred, APN's National Provider Identifier is 1972199461, issued on Dec 18, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Mar 2, 2026.