# MISSOURI EAR NOSE AND THROAT CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033319140
- **Authorized official:** DR. WILLIAM CHARLES KINNEY SR. MD (MEMBER)
- **Authorized official phone:** (573) 808-0492

## Contact information

- **Practice address:** 3401 BERRYWOOD DR, SUITE 201, COLUMBIA, MO 65201-6515
- **Practice address phone:** (573) 815-0662
- **Practice address fax:** (573) 443-1162
- **Mailing address:** 3401 BERRYWOOD DR, SUITE 201, COLUMBIA, MO 65201-6515
- **Mailing address phone:** (573) 815-0662
- **Mailing address fax:** (573) 443-1162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2007
- **Last updated:** 07/18/2007