Organization Active NPI

Kathy Kinder MD, LLC

  • Nursing Facility/Intermediate Care Facility
  • Overland Park, KS
National Provider Identifier
1194764142
Registry record updated Nov 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
R7J60 Issued in MO
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

Updated by the provider on Nov 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kathy L Kinder, MDNPI 1144475070
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
208820118MedicaidMO
100190820CMedicaidKS
23270040OtherMOBCBS OF KANSAS CITY

Other names 1

  • Kathy Kinder MD, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.