Active NPI
Roy R Kinder Jr MD PC
- Dermatology Physician
- Upper Darby, PA
National Provider Identifier
1174705024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD032726L
- Legal business name
- ROY R KINDER JR MD PC
- Practice address
- 35 Brandon Rd
Upper Darby, PA 19082-2504 - Phone
- (610) 352-9021
- Fax
- (610) 352-4015
- NPI assigned
- Dec 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roy R. Kinder Jr., MD
- Title
- Dermatologist
- Phone
- (610) 352-9021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD032726L | PA | Primary |
Addresses
Primary practice location
35 Brandon Rd
Upper Darby, PA 19082-2504
Mailing address
35 Brandon Rd
Upper Darby, PA 19082-2504
Phone (610) 352-9021
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Narberth, PA
- NPI 1558356790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196640000000",
"number": "1174705024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 BRANDON RD",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190822504",
"telephone_number": "610-352-9021",
"fax_number": "610-352-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 BRANDON RD",
"city": "UPPER DARBY",
"state": "PA",
"postal_code": "190822504",
"telephone_number": "610-352-9021",
"fax_number": "610-352-4015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROY R KINDER JR MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-03",
"last_updated": "2007-12-03",
"status": "A",
"authorized_official_last_name": "KINDER",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "DERMATOLOGIST",
"authorized_official_telephone_number": "610-352-9021",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "PA",
"license": "MD032726L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.