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

Kyle Minor Kinder

Individual provider Occupational Therapy Assistant · NPI 1295583516

Kyle Minor Kinder is an Occupational Therapy Assistant in Glen Carbon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

400 S Station Rd
Glen Carbon, IL 62034-2743
Phone: (618) 288-5014
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057.004580 (IL)

Record details

NPI number1295583516
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 10, 2024
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing address1500 Duval Dr, Godfrey, IL 62035-1608

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