Central Missouri Healthcare Associates, Llc

NPI 1164790465 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1164790465
Enumeration Date 12/01/2011
Last Updated 09/05/2012
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KATHLEEN KATHLEEN
Position PRESIDENT
Phone (660) 882-8018
Fax (660) 882-3188
Practice Location
1417 BINGHAM RD
BOONVILLE MO, 65233-2229, US
Phone (660) 882-8018
Fax (660) 882-3188
Business Location
401 N KEENE ST
COLUMBIA MO, 65201-6625, US
Phone (573) 875-6504
Fax (576) 875-7168
Toxanomy
Taxonomy Code 363LF0000X
License State Missouri
License Number 116825
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According to our database, Central Missouri Healthcare Associates, Llc NPI is 1164790465, taxonomy code is 363LF0000X and license number is 116825, license state is located at Missouri. Central Missouri Healthcare Associates, Llc physically located at 1417 Bingham Rd, Boonville MO, 65233-2229. NPI Number 1033115704 has the healthcare provider type.

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1164790465 NPI number is provided on an as is basis without warranty of any kind. 1164790465 is maintained by the National Plan & Provider Enumeration System. The contents of Central Missouri Healthcare Associates, Llc are for informational purposes only.