Purposely Filled is a
Dietitian, Registered based in Campbell, Missouri. Purposely Filled is licensed to practice in * (Not Available) (license number ) and their current practice location is
704 W Grand Ave, Campbell, Missouri. It can be reached at their office (for appointments etc.) via phone at
(573) 576-2723.
NPI number for Purposely Filled is 1598625261 and their current mailing address is 704 W Grand Ave, Campbell, Missouri. Purposely Filled
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1598625261.
Healthcare Provider's Profile
| Full Name | Purposely Filled |
|---|
| Type | Facility |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 704 W Grand Ave, Campbell, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598625261
- Provider Enumeration Date: 11/14/2025
- Last Update Date: 11/14/2025
Medical Identifiers
Medical identifiers for Purposely Filled such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598625261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Purposely Filled is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Purposely Filled 704 W Grand Ave, Campbell, MO 63933-1406 Ph: (573) 576-2723 | Purposely Filled 704 W Grand Ave, Campbell, MO 63933-1406 Ph: (573) 576-2723 |
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