Provider Demographics
NPI:1326080912
Name:GUINDON, KURT R (MD)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:R
Last Name:GUINDON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 SW MISSION VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-5654
Mailing Address - Country:US
Mailing Address - Phone:785-273-6650
Mailing Address - Fax:785-273-6653
Practice Address - Street 1:6650 SW MISSION VALLEY DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5654
Practice Address - Country:US
Practice Address - Phone:785-273-6650
Practice Address - Fax:785-273-6653
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4214482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS105390OtherBCBS
B69276Medicare UPIN