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JERRY KINDER MD NPI 1053362079


NPI Information

NPI: 1053362079
Provider Name: JERRY KINDER, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 331-5330
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Jerry Kinder, MD is a surgery in Cape Girardeau, MO. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Jerry Kinder, MD NPI is 1053362079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

211 SAINT FRANCIS DR
CAPE GIRARDEAU, MO
ZIP 63703-049
Phone: (573) 331-5330
Fax: (573) 331-5025

The enumeration date for this NPI number is 5/15/2006 and was last updated on 5/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine27632MISSOURINo
2208600000XSurgery27632MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1020053866OTHERRR MEDICARE
2026299OTHERMISSOURIBCBS
3A12736MEDICARE UPINMISSOURI
40470659087MEDICAIDILLINOIS
5440912OTHERHEALTHLINK
6200015915MEDICAIDMISSOURI
7017013247MEDICARE PINMISSOURI
864068836MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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