Individual provider Active NPI

Kylie Jade Kindred

  • Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1699641316
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4045998 Issued in KY
Practice address
2603 Kentucky Ave Ste 402
Paducah, KY 42003-3830
Phone
(270) 443-6472
NPI assigned
Oct 13, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4045998 KY Primary

Addresses

Primary practice location

2603 Kentucky Ave Ste 402
Paducah, KY 42003-3830

Mailing address

3960 Old Mayfield Rd
Paducah, KY 42003-5104
Phone (270) 816-7340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251205001143 KY Practitioner - Nurse Practitioner 6204329485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

2603 Kentucky Ave
Suite 402
Paducah, KY 42003-3830
Phone (270) 443-6472

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4045998KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients

Locations

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2603 Kentucky Ave
Ste 402
Paducah, KY 42003
Phone (270) 443-2830

Organizations & group practices 2

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1699641316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 OLD MAYFIELD RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420035104",
            "telephone_number": "270-816-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 KENTUCKY AVE STE 402",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033830",
            "telephone_number": "270-443-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDRED",
        "first_name": "KYLIE",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4045998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.