NPIMap

Individual provider Active NPI

Kyle L Kinder, PA-C

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1457012908
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC159 Issued in KY
Practice address
3 Audubon Plaza Dr Ste 430
Louisville, KY 40217-1319
Phone
(502) 636-4900
Fax
(502) 636-4901
NPI assigned
Jan 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2023009776 MO
Physician Assistant 363A00000X TC159 KY Primary

Addresses

Primary practice location

3 Audubon Plaza Dr Ste 430
Louisville, KY 40217-1319

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 636-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230522002508 MO Practitioner - Physician Assistant 6002272721
I20240723000581 KY Practitioner - Physician Assistant 6002272721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

2355 Poplar Level Rd
Suite 200
Louisville, KY 40217-1385
Phone (502) 636-7444

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

  • Vna Health at Home Home health agency, Louisville, KY, CCN 187000
  • Caretenders Home health agency, Louisville, KY, CCN 187152
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2023009776MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Physician Assistant CurrentSince Jul 1, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Community Medical Associates, Inc. Physician Assistant Past Accepting new patients

Locations

1230 Market St
Lagrange, KY 40031
Phone (502) 225-6900

9451 Westport Rd
Ste 122C
Louisville, KY 40241
Phone (502) 559-3636

170 Dr Arla Way
Ste 101
Louisville, KY 40229
Phone (502) 888-1988

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

4123 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 559-1777

210 E Gray St
Ste 604
Louisville, KY 40202
Phone (502) 629-5440

9300 Stonestreet Rd
Ste 200
Louisville, KY 40272
Phone (502) 935-8061

3 Audubon Plaza Dr
Ste 430
Louisville, KY 40217
Phone (502) 636-4900

9880 Angies Way
Ste 205
Louisville, KY 40241
Phone (502) 394-5678

4123 Dutchmans Ln
Ste 401
Louisville, KY 40207
Phone (502) 394-6341

9880 Angies Way
Ste 250
Louisville, KY 40241
Phone (502) 394-6340

8033 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-3154

150 Frankfort Rd
Ste 102B
Shelbyville, KY 40065
Phone (502) 633-9030

Interoperability endpoints

  • Direct secure messaging: kkinder291942@direct.nortonhealthcare.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1457012908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-636-4900",
            "fax_number": "502-636-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AUDUBON PLAZA DR STE 430",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171319",
            "telephone_number": "502-636-4900",
            "fax_number": "502-636-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDER",
        "first_name": "KYLE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-06",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2023009776",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11125 Dunn Rd Ste 301",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.