Kinder, Jerry
Kinder, Jerry is an individual health care provider with primary practice located at 211 Saint Francis Dr , Cape Girardeau MO 63703-5049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kinder, Jerry can be contacted via phone (573) 331-5330.Contact Information
Primary practice address
211 Saint Francis Dr
Cape Girardeau MO 63703-5049
Phone: (573) 331-5330
Fax: (573) 331-5025
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 27632 | Missouri |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 27632 | Missouri |
Profile Details
NPI number | 1053362079 |
---|---|
LBN Legal business name | Kinder, Jerry |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | May 17th, 2011 - 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 | 1053362079 | NPPES |
Illinois | MEDICAID | 0470659087 | |
Illinois | MEDICAID | 200015915 | |
Illinois | Other | 440912 | |
Illinois | Other | 026299 | |
Illinois | MEDICAID | 64068836 | |
Illinois | Other | 020053866 |
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