Active NPI
Kinede Jennings
- Family Medicine Physician
- Fort Scott, KS
National Provider Identifier
1912745514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 53-83396-102
- Practice address
- 4 S Main St
Fort Scott, KS 66701-1413 - Phone
- (620) 215-1435
- NPI assigned
- Jul 17, 2024
- Last updated
- Jul 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 53-83396-102 | KS | Primary |
Addresses
Primary practice location
4 S Main St
Fort Scott, KS 66701-1413
Mailing address
8363 E State Highway MM
Rich Hill, MO 64779-9134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-83396-102 | KS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721433600000",
"number": "1912745514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8363 E STATE HIGHWAY MM",
"city": "RICH HILL",
"state": "MO",
"postal_code": "647799134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 S MAIN ST",
"city": "FORT SCOTT",
"state": "KS",
"postal_code": "667011413",
"telephone_number": "620-215-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "KINEDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-20",
"certification_date": "2024-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "53-83396-102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Scott, KS
- Integrity Home Care of Kansas, LLC (Integrity Home Care and Hospice)
- Integrity Hospice of Kansas City, Inc. (Integrity Home Care and Hospice)
- Integrity Hospice of Kansas City, Inc.
- Jenkins Family Dentistry (Fort Scott Family Dental)
- Brad R Jenkins, DDS
- JKM DME Inc (Care4All Home Medical Equipment)
- Dale D Johnson, OTR
- K.J., Inc (Quality Care Home Services)
- K.J.,Inc (Fort Scott Manor)
- Kallos LLC (Kallos MedSpa I Wellness Center I Salon)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.