Unknown Individual – Physician Assistant, NPI 1194199869
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
900 E LAHARPE ST
KIRKSVILLE, MO 635014520
Phone: (660) 665-1962
Fax: (660) 665-3989
Type: Mailing
141 COMMUNICATION DR
HANNIBAL, MO 634013670
Phone: (573) 603-1460
Fax: (573) 603-1462
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63501)
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