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Organization
KENNETT HMA INC
Active
Organization
KENNETT HMA INC
Active
Other names
Gideon Rurual Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3176
Entity
Organization
Contact information
Practice address
1301 1ST ST, KENNETT, MO 63857-2525
(573) 888-4522
Mailing address
1301 1ST ST, KENNETT, MO 63857-2525
(573) 888-4522
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/10/2006
Last updated
02/18/2009
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