Kindred LLC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

Legal business name

KINDRED LLC

Practice address

120 NE Glen Oak Ave
Suite 200
Peoria, IL 61603-4314

Phone

(309) 673-0000

Fax

(309) 673-3730

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David H Kindred, MD

Title

Physician

Phone

(309) 673-0000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609936707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NE GLEN OAK AVE",
            "address_2": "SUITE 200",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616034314",
            "telephone_number": "309-673-0000",
            "fax_number": "309-673-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE GLEN OAK AVE",
            "address_2": "SUITE 200",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616034314",
            "telephone_number": "309-673-0000",
            "fax_number": "309-673-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINDRED",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "309-673-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9032024",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "204931",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Ryan Kilver
• Christina Kim, M.D.
• Kyu Kim, M.D.
• Paul H Kim, MD
• Kindred Healthcare Operating, LLC
• Kathie Kindred, APN
• Jamie Leigh King, APN
• Janette King
• Kristin M King, CNM
• Michelle Lee King, APRN

• Obstetrics Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Obstetrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.