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KINDRED LLC NPI 1609936707


NPI Information

NPI: 1609936707
Provider Name: KINDRED LLC
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
120 NE GLEN OAK AVE
SUITE 200
PEORIA, IL
ZIP 61603
Phone: (309) 673-0000
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KINDRED LLC is an obstetrics obstetrics gynecology in Peoria, IL. KINDRED LLC NPI is 1609936707. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

120 NE GLEN OAK AVE
SUITE 200
PEORIA, IL
ZIP 61603-314
Phone: (309) 673-0000
Fax: (309) 673-3730

The provider's authorized official is David H Kindred .
The authorized official title is Physician and has the following contact phone number (309) 673-0000.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/22/2020.


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
1207VX0000XObstetrics & GynecologyObstetricsYes

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
1204931OTHERILLINOISPIN
29032024OTHERILLINOISBLUE CROSS BLUE SHIELD

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.