| Bootheel Family Practice | |
|
105 E Washington St Kennett MO 63857-2041 | |
| (573) 888-1137 | |
| (573) 888-0920 |
| Full Name | Bootheel Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 105 E Washington St, Kennett, Missouri |
| Authorized Official Name and Position | Kerry Noble (CEO) |
| Authorized Official Contact | 5733593612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bootheel Family Practice 105 E. Washington Kennett MO 63857 Ph: (573) 888-1137 | Bootheel Family Practice 105 E Washington St Kennett MO 63857-2041 Ph: (573) 888-1137 |
| NPI Number | 1477091890 |
|---|---|
| Provider Enumeration Date | 02/06/2017 |
| Last Update Date | 02/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477091890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Massey Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 Teaco Rd, Suite B, Kennett, MO 63857 Phone: 573-888-6100 Fax: 573-888-6184 | |
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