Individual provider · NPI-1

Scott David Kirkley, MD

Internal Medicine · Farmington, MO

NPI number1972604908
StatusActive
Last updated in NPPESSep 26, 2025

Details

NPI
1972604908
Entity type
Individual (NPI-1)
Name
Scott David Kirkley
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 25, 2006
Certification date
Sep 26, 2025
Last updated
Sep 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine2007007776MOYes
208M00000X Hospitalist2007007776MO

Practice location

1106 Hazel Ln
Farmington, MO 63640-1999

Phone 573-756-6751 · Fax 573-760-8044

Mailing address

Po Box 957683
Saint Louis, MO 63195-1921

Phone 573-756-6751 · Fax 573-760-8044

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