| Dr Kimberly Henley, MD | |
| 1235 E Cherokee St, Springfield, MO 65804-2203 | |
| (417) 820-2115 | |
| (417) 820-5344 | 
| Full Name | Dr Kimberly Henley | 
|---|---|
| Gender | Female | 
| Speciality | Emergency Medicine | 
| Location | 1235 E Cherokee St, Springfield, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083884043 | NPI | - | NPPES | 
| 206334001 | Medicaid | AR | |
| 440552485 | Other | MO | TRICARE | 
| 1083884043 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2008032273 (Missouri) | Primary | 
| Entity Name | Mercy Clinic Springfield Communities | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 | 
| Entity Name | Mercy Hospital Springfield | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043242159 PECOS PAC ID: 7416867593 Enrollment ID: O20050118000038 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Kimberly Henley, MD Po Box 504274, Saint Louis, MO 63150-4274 Ph: (417) 829-4620 | Dr Kimberly Henley, MD 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 820-2115 | 
| Janel M Ochse, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 | |
| Gregory J Kutter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6583 Fax: 417-269-6573 | |
| Douglas Scott Ham, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-6583 Fax: 417-269-6573 | |
| Daryl Thomas Steen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 | |
| Dr. David Darmsteadter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2115 | |
| Jeremy O'shea, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 Fax: 417-269-6573 | |
| Dr. Jacob Lee Spain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 |