Kinder, Jack L
Kinder, Jack L is an individual health care provider with primary practice located at 600 Morris St Suite 102, Charleston WV 25301-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kinder, Jack L can be contacted via phone (304) 388-7130.Contact Information
Primary practice address
600 Morris St Suite 102
Charleston WV 25301-1409
Phone: (304) 388-7130
Fax: (304) 388-7136
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 17879 | West Virginia |
Profile Details
NPI number | 1831199959 |
---|---|
LBN Legal business name | Kinder, Jack L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 29th, 2005 |
Last updated | Jan 19th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831199959 | NPPES |
West Virginia | MEDICAID | 0077337-000 |
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