Unknown Individual – Family Medicine Physician, NPI 1356457568
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1817 W MALLORI CIR
KENNETT, MO 638574141
Phone: (573) 888-3573
Type: Mailing
John J. Pershing VA Medical Center, 1500, North Westwood Boulevard, Poplar Bluff, Butler County, Missouri, 63901, United States
POPLAR BLUFF, MO 639013318
Phone: (870) 236-9756
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63857)
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