| Dlk Medicine LLC | |
|
4457 S Farm Road 145 Springfield MO 65810-1414 | |
| (417) 830-4701 | |
| (855) 807-2451 |
| Full Name | Dlk Medicine LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4457 S Farm Road 145, Springfield, Missouri |
| Authorized Official Name and Position | Deatrice Kellogg (OWNER/PROVIDER) |
| Authorized Official Contact | 4178034701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dlk Medicine LLC 4457 S Farm Road 145 Springfield MO 65810-1414 Ph: (417) 830-4701 | Dlk Medicine LLC 4457 S Farm Road 145 Springfield MO 65810-1414 Ph: (417) 830-4701 |
| NPI Number | 1508775792 |
|---|---|
| Provider Enumeration Date | 09/03/2026 |
| Last Update Date | 09/03/2026 |
| Certification Date | 09/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508775792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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