Provider Demographics
NPI:1710909908
Name:KINDRED, LYNN H (MD)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:H
Last Name:KINDRED
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 1:4000 CAMBRIDGE ST STE G600
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8501
Mailing Address - Country:US
Mailing Address - Phone:913-588-9600
Mailing Address - Fax:
Practice Address - Street 1:4000 CAMBRIDGE STREET STE G600
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8501
Practice Address - Country:US
Practice Address - Phone:913-588-9600
Practice Address - Fax:913-588-9770
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR3277207RC0000X
KS04-13105207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100000080BMedicaid
MO200019404Medicaid
04043016OtherBCBS KC
KS051546OtherBCBS KS
KS100000080AMedicaid
KS100000080AMedicaid
KS060062383Medicare PIN
KS110330009Medicare PIN
KS051546Medicare PIN
MO060050892Medicare PIN
MO0380949EMedicare PIN
KS051546OtherBCBS KS
MO0380949AMedicare PIN