Kindred Light Support LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KINDRED LIGHT SUPPORT LLC

Practice address

210 W 19TH Ter Ste 150
Kansas City, MO 64108-2162

Phone

(919) 998-9611

NPI assigned

Apr 23, 2024

Organization subpart

No

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

Authorized official

Name

Pierre Pickens

Title

Ceo

Phone

(919) 998-9611

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1669227427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275100819",
            "telephone_number": "919-998-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 19TH TER STE 150",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082162",
            "telephone_number": "919-998-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED LIGHT SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-998-9611"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Lake Kinder, MD
• Kristi Lynn Kinder, D.O.
• Craig Allen Kindiger, M.S., LPC
• Kindred Hospitals East, LLC
• Kindred Hospitals East, LLC
• David King III III
• King Long Term Care Facility
• Kristen M King Spero, MSW LCSW
• Allison R King, PHARMD
• Carla King, D.D.S.

• Community/Behavioral Health Agency in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.