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A T Still University Of Health Sciences

Family Medicine in Kirksville, MO. Organization (NPI-2).

NPI number1164484887
StatusActive
Last updated in NPPESFeb 18, 2026

Details

NPI
1164484887
Entity type
Organization (NPI-2)
Legal business name
A T Still University Of Health Sciences
Organization subpart
No
Enumeration date
Apr 6, 2006
Certification date
Feb 18, 2026
Last updated
Feb 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
204D00000X Neuromusculoskeletal Medicine & OMM––
2084N0400X Psychiatry & Neurology, Neurology––
103T00000X Psychologist––

Practice location

800 W Jefferson St
Kirksville, MO 63501-1443

Phone 660-626-2739 · Fax 660-626-2150

Mailing address

800 W Jefferson St
Kirksville, MO 63501-1443

Phone 660-626-2739 · Fax 660-626-2150

Authorized official

Adam Moore
Clinic Manager
6606262739

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