# COMMAND PRIME, LLC

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

## Provider details

- **NPI number:** 1164289054
- **Authorized official:** DR. LUKE AARON VAN KIRK DO (PHYSICIAN/OWNER)
- **Authorized official phone:** (417) 693-8618

## Contact information

- **Practice address:** 2740 N MAYFAIR AVE, SPRINGFIELD, MO 65803-5084
- **Practice address phone:** (417) 521-3925
- **Mailing address:** 3238 S NATIONAL AVE, SPRINGFIELD, MO 65807-7303
- **Mailing address phone:** (417) 351-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2024
- **Last updated:** 03/06/2024