Individual
FREDERICK JOHN KINDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 201, SHREVEPORT, LA 71118-3133
(318) 688-8804
(318) 688-5473
Mailing address
2508 BERT KOUNS INDUSTRIAL LOOP, SUITE 201, SHREVEPORT, LA 71118-3133
(318) 688-8804
(318) 688-5473
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
022654
LA
207V00000X
Obstetrics & Gynecology Physician
Primary
22654
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494810
—
LA
01
—
F6740
BLUE CROSS
LA
Enumeration date
08/18/2005
Last updated
06/17/2021
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