Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendyl Ingram, CSFA

Individual provider Surgical Assistant · NPI 1962931071

Kendyl Ingram, CSFA is a Surgical Assistant in Pueblo, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2017

Practice location Address checks out

2101 W 32nd St
Pueblo, CO 81008-1321
Phone: (719) 231-0177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA.0002224 (CO)

Record details

NPI number1962931071
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorYes
NPI enumeratedJune 12, 2017
Last updated in NPPESJune 21, 2017
Mailing address2101 W 32nd St, Pueblo, CO 81008-1321

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