Dr Kyle James Kinderknecht, MD | |
9800 Se Sunnyside Rd, Clackamas, OR 97015-9301 | |
(800) 813-2000 | |
Not Available |
Full Name | Dr Kyle James Kinderknecht |
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Gender | Male |
Speciality | Family Medicine |
Location | 9800 Se Sunnyside Rd, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1649618729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | FK3034648 (Washington) | Secondary |
207Q00000X | Family Medicine | 0101256995 (Virginia) | Secondary |
207Q00000X | Family Medicine | MD215693 (Oregon) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
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Dr Kyle James Kinderknecht, MD 9800 Se Sunnyside Rd, Clackamas, OR 97015-9301 Ph: () - | Dr Kyle James Kinderknecht, MD 9800 Se Sunnyside Rd, Clackamas, OR 97015-9301 Ph: (800) 813-2000 |
Dr. Calvert John Shipley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-653-6440 | |
Dr. Thorsten Lundsgaarde, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Dr. Lisa Burton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd, Mt Scott Medical Office, Clackamas, OR 97015 Phone: 503-652-2880 | |
Jon Peters, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015 Phone: 503-659-0880 Fax: 503-513-7425 | |
Carla Jean Bowman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 Fax: 503-571-8445 | |
Dr. Benjamin Jacob Colburn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-494-8211 | |
Guy Whitehead Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 |