Kendel L Klein

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R4P73 Issued in MO

Practice address

101 W Patterson St
Mount Vernon, MO 65712-1054

Phone

(417) 466-7700

NPI assigned

May 27, 2005

Last updated

Nov 12, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kendel L Klein

  dba Country Corner Family Medical Center

  • Rural Health Clinic/Center
  • Mount Vernon, MO
  • NPI 1770578569
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1245233741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14662 LAWRENCE 2085",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657126208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W PATTERSON ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121054",
            "telephone_number": "417-466-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "KENDEL",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R4P73",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203231600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendel L Klein (Country Corner Family Medical Center)
• Malinda K Kendrick, FNP
• Laura Kester, RDH
• Beryl Jeanette Kime, M.D.
• Mary Ann P. Kit, MD
• Tracy Knight, LMSW
• Billie Knipfer, SLP-CF
• Ethan Kristek, M.S., CCC-SLP
• Landrum Drug Inc (Landrum Drug)
• Lawrence County Health Department

• Family Medicine Physician in Mount Vernon, MO
• Providers in Mount Vernon, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.