# KATHY KINDER MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kathy Kinder MD, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194764142
- **Authorized official:** DR. KATHY L KINDER MD (INTERNAL MEDICINE)
- **Authorized official phone:** (913) 908-2554

## Contact information

- **Practice address:** 9801 W 100TH TER, OVERLAND PARK, KS 66212-5306
- **Practice address phone:** (913) 908-2554
- **Practice address fax:** (913) 438-5252
- **Mailing address:** PO BOX 12478, OVERLAND, KS 66282-2478
- **Mailing address phone:** (913) 908-2554
- **Mailing address fax:** (913) 438-5252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 22040 | KS | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | R7J60 | MO | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 11/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100190820C | — | KS |
| 05 | — | 208820118 | — | MO |
| 01 | — | 23270040 | BCBS OF KANSAS CITY | MO |