KINDRED LLC NPI 1609936707

NPI Information

NPI: 1609936707
Provider Name: KINDRED LLC
Classification: Obstetrics & Gynecology - 207VX0000X
Specialization: Obstetrics
Entity Type: Organization
Address: 120 NE GLEN OAK AVE
SUITE 200
PEORIA, IL
ZIP 61603
Phone: (309) 673-0000

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NPI Details

KINDRED LLC is an obstetrics obstetrics gynecology in Peoria, IL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0000X	Obstetrics & Gynecology	Obstetrics			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	204931	OTHER	ILLINOIS	PIN
2	9032024	OTHER	ILLINOIS	BLUE 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: 11/21/2025

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