DAVID KINDRED INTEGERATED MEDICINE PC (NPI# 1861836991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861836991 |
| Entity Type | Organization |
| Organization Name | DAVID KINDRED INTEGERATED MEDICINE PC |
| Practice Address |
2806 N Knoxville Ave Peoria IL 61604-2870 |
| Practice Telephone | 3092149950 |
| Mailing Telephone | 3092149950 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |
| Authorized Official Name | DR. DAVID KINDRED (PRESIDENT) |
| Authorized Official Telephone | 3096871379 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
2806 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61604-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093062077 | Rejuv David Kindred, PC | Obstetrics & Gynecology | 2806 N Knoxville Ave, Peoria, IL 61604-2870 | 2012-08-09 |
| 1164761268 | David Kindred Integrated Medicine PC | Preventive Medicine | 2806 N Knoxville Ave, Peoria, IL 61604-2870 | 2013-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| Find all providers in zip 61604 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1912367582 | Perfectbalance Md Sc | General Practice | 7720 N Grand Prairie Dr, Peoria, IL 61615-9242 | 2016-02-25 |
| 1285012666 | Joshua James Johnson | General Practice | 9401 W Thunderbird Rd Ste 155, Peoria, AZ 85381-4238 | 2015-05-18 |
| 1295131712 | Integra Home Doctors, Inc. | General Practice | 16165 N 83rd Ave, Suite 200, Peoria, AZ 85382-5816 | 2014-11-11 |
| 1922449172 | Chinenye Chioma Anako | General Practice | 611 W Glen Ave Apt B, Peoria, IL 61614-4874 | 2013-07-16 |
| 1366049025 | Cactus Pain Relief, LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2020-10-06 |
| 1477199701 | Cactus Pain Solutions, LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2019-11-21 |
| 1710487905 | Cactus Medical Center LLC | General Practice | 20255 N Lake Pleasant Rd Ste 102, Peoria, AZ 85382-9747 | 2018-02-14 |
| 1639443757 | Vital4men LLC | General Practice | 7707 W Deer Valley Rd, 115, Peoria, AZ 85382-2101 | 2012-03-07 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.