Kinkor, Roger Donald

Kinkor, Roger Donald is an individual health care provider with primary practice located at 411 Laurel St Suite 3170, Des Moines IA 50314-3017. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Kinkor, Roger Donald can be contacted via phone (515) 283-0463.

Contact Information

Primary practice address
411 Laurel St Suite 3170 Des Moines IA 50314-3017
Phone: (515) 283-0463
Fax: (515) 283-0794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25549 Iowa
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 25549 Iowa

Profile Details

NPI number 1205836327
LBN Legal business name Kinkor, Roger Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Oct 19th, 2007 - about 17 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 1205836327 NPPES
Iowa MEDICAID 0067140

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