Active NPI
Kathy Kinder MD, LLC
- Nursing Facility/Intermediate Care Facility
- Overland Park, KS
National Provider Identifier
1194764142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- R7J60
- Legal business name
- KATHY KINDER MD, LLC
- Practice address
- 9801 W 100TH Ter
Overland Park, KS 66212-5306 - Phone
- (913) 908-2554
- Fax
- (913) 438-5252
- NPI assigned
- Jun 5, 2006
- 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
- Dr. Kathy L Kinder, MD
- Title
- Internal Medicine
- Phone
- (913) 908-2554
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 22040 | KS | |
| Nursing Facility/Intermediate Care Facility | 313M00000X | R7J60 | MO | Primary |
Addresses
Primary practice location
9801 W 100TH Ter
Overland Park, KS 66212-5306
Mailing address
PO Box 12478
Overland, KS 66282-2478
Phone (913) 908-2554
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208820118 | Medicaid | MO | |
| 100190820C | Medicaid | KS | |
| 23270040 | Other | MO | BCBS OF KANSAS CITY |
Other names 1
- Kathy Kinder MD, LLC
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.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1144475070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225584000000",
"number": "1194764142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12478",
"city": "OVERLAND",
"state": "KS",
"postal_code": "662822478",
"telephone_number": "913-908-2554",
"fax_number": "913-438-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 W 100TH TER",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662125306",
"telephone_number": "913-908-2554",
"fax_number": "913-438-5252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHY KINDER MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-05",
"last_updated": "2008-11-02",
"status": "A",
"authorized_official_last_name": "KINDER",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "INTERNAL MEDICINE",
"authorized_official_telephone_number": "913-908-2554",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "KS",
"license": "22040",
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "MO",
"license": "R7J60",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208820118",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100190820C",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KANSAS CITY",
"identifier": "23270040",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kathy Kinder MD, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.