Crenshaw Family Practice Clinic, Pc

NPI 1073739439 - Family Medicine - 207Q00000X

NPI Details
NPI 1073739439
Enumeration Date 04/17/2007
Last Updated 01/15/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NEVILLE Q. NEVILLE
Position OWNER
Phone (660) 727-3388
Fax (660) 727-2196
Practice Location
133 E MAIN
KAHOKA MO, 63445-1775, US
Phone (660) 727-3388
Fax (660) 727-2196
Business Location
133 E MAIN
KAHOKA MO, 63445, US
Phone (660) 727-3388
Fax (660) 727-2196
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Crenshaw Family Practice Clinic, Pc NPI is 1073739439, taxonomy code is 207Q00000X Crenshaw Family Practice Clinic, Pc physically located at 133 E Main, Kahoka MO, 63445-1775. NPI Number 1033115704 has the healthcare provider type.

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1073739439 NPI number is provided on an as is basis without warranty of any kind. 1073739439 is maintained by the National Plan & Provider Enumeration System. The contents of Crenshaw Family Practice Clinic, Pc are for informational purposes only.