Massey Family Care
Family Medicine in Kennett, MO. Organization (NPI-2).
NPI number1043485873
StatusActive
Last updated in NPPESApr 23, 2008
Details
- NPI
- 1043485873
- Entity type
- Organization (NPI-2)
- Legal business name
- Massey Family Care
- Organization subpart
- No
- Enumeration date
- Apr 23, 2008
- Last updated
- Apr 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
304 Teaco RdSuite B
Kennett, MO 63857-3266
Phone 573-888-6100 · Fax 573-888-6184
Mailing address
304 Teaco RdSuite B
Kennett, MO 63857-3266
Phone 573-888-6100 · Fax 573-888-6184
Authorized official
Amy D Ledbetter
Director Of Operations
5736514488
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All 14 Family Medicine Physician providers in Kennett · All 955 providers in Kennett
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