Individual
DR. DAVID W KINSCHERFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
122 E ZUPAN ST, MARYVILLE, IL 62062-2010
(618) 344-4449
(618) 344-4551
Mailing address
PO BOX 340, MARYVILLE, IL 62062-0340
(618) 344-4449
(618) 344-4551
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004012
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011510
MO MEDICARE GROUP
MO
01
—
135306
HEALTHLINK PIN#
MO
01
—
16233
BC/BS OF MO - PIN#
MO
01
—
2750017
UHC MIDWEST
IL
01
—
42690
GHP PIN#
IL
01
—
480008235
RAILROAD MEDICARE PIN#
IL
Enumeration date
01/18/2006
Last updated
10/05/2007
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