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
Fax: (573) 331-5025
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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