Individual
JERRY KINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5330
(573) 331-5025
Mailing address
PO BOX 843225, KANSAS CITY, MO 64184-3225
(708) 633-1234
(708) 342-7100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27632
MO
208600000X
Surgery Physician
Primary
27632
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020053866
RR MEDICARE
—
01
—
026299
BCBS
MO
05
—
0470659087
—
IL
05
—
200015915
—
MO
01
—
440912
HEALTHLINK
—
05
—
64068836
—
KY
Enumeration date
05/15/2006
Last updated
05/17/2011
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