# KNEIBERT CLINIC LLC

> 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
- **Other names:** Kneibert Clinic Radiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225196058
- **Authorized official:** ROBERT E CHRISTIAN (ADMINISTRATOR)
- **Authorized official phone:** (573) 778-7210

## Contact information

- **Practice address:** 686 LESTER ST, POPLAR BLUFF, MO 63901
- **Practice address phone:** (573) 686-2411
- **Practice address fax:** (573) 686-8452
- **Mailing address:** PO BOX 220, POPLAR BLUFF, MO 63902
- **Mailing address phone:** (573) 686-2411
- **Mailing address fax:** (573) 686-8452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 08/22/2020