Kirk L. Kinard, DO

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

19491 Issued in MS

Practice address

2215 Jefferson Davis Dr
Oxford, MS 38655-5221

Phone

(662) 638-0462

Fax

(866) 658-0083

NPI assigned

Jun 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kinard_kirk_md@yourcarecommunity.org
• Direct secure messaging: kirk.kinard.1@26304.direct.athenahealth.com

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

• Willow Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Oxford, MS
  • NPI 1205169521
  Medicare reassignment NPD
• Willow Pain and Wellness, LLC

  • Pain Clinic/Center
  • Oxford, MS
  • NPI 1093188096
  NPD Authorized official
• Willow Pain and Wellness, LLC

  • Pain Clinic/Center
  • Batesville, MS
  • NPI 1104300854
  NPD Authorized official

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376740803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 MOGRIDGE LN",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 JEFFERSON DAVIS DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555221",
            "telephone_number": "662-638-0462",
            "fax_number": "866-658-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Medical Center Dr",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "MS",
            "postal_code": "386060000",
            "country_code": "US",
            "telephone_number": "662-638-0462",
            "fax_number": "866-658-0083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINARD",
        "first_name": "KIRK",
        "middle_name": "L.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MS",
            "license": "19491",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TN",
            "license": "2200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02339383",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522852",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie Brooke Kiggins
• Lauren Zion Kim
• Yein Kim
• Elizabeth Lauren Kimberl, BSW
• Ferrick Kimmons, MSW, PCMHT
• David M Kincaid
• Sarah Kindervater, SLP
• Amy M King
• Jamie L King, LSW, CCSS
• Katherine E King, MA, MDIV., MSW, LMSW

• Interventional Pain Medicine Physician in Oxford, MS
• Providers in Oxford, MS by specialty
• Interventional Pain Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.