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KND Development 59, LLC

Organization Active NPI Hospitalist Physician · Kansas City, MO

NPI 1114213394 · NPPES record last updated Sep 2, 2025

Key facts

NPI
1114213394
Entity type
Organization (NPI type 2)
Primary specialty
Hospitalist Physician 208M00000X
Legal business name
KND DEVELOPMENT 59, LLC
Practice address
500 NW 68TH St
Kansas City, MO 64118-2455
Phone
(816) 420-6300
Fax
(502) 596-4150
NPI assigned
Jun 25, 2011
Organization subpart
Yes
Parent organization (as reported)
KINDRED HEALTHCARE, INC

Authorized official

Name
Linda L Fisher
Title
DVP Revenue Cycle
Phone
(502) 596-7358

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 181

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 181

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100728000826 MO Part B Supplier - Clinic/Group Practice 3678602802 Receives reassigned benefits from 16 practitioners
5 other NPIs on this enrollment
Practice locations: Kansas City, MO; Saint Louis, MO

National Provider Directory

Tax ID family
KND Development 59 LLC (78 organizations share this tax ID)
Part of
Presence Covenant Medical Center

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208M00000X Yes

Addresses

Primary practice location

500 NW 68TH St
Kansas City, MO 64118-2455

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-7300

Other identifiers

IdentifierTypeStateIssuer
1114213394MedicaidMO
MA2353OtherMOMEDICARE

Other names

  • 4834 KH NORTHLAND Other name

Other providers in Kansas City, MO

All providers in Kansas City, MO · Hospitalist Physician in Missouri

Sources for this page

Verify at the official NPI Registry.