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Organization
PEMISCOT COUNTY MEMORIAL HOSPITAL
Active
Organization
PEMISCOT COUNTY MEMORIAL HOSPITAL
Active
Other names
Bootheel Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY NOBLE (CEO)
(573) 359-3612
Entity
Organization
Contact information
Practice address
105 E WASHINGTON ST, KENNETT, MO 63857-2041
(573) 888-1137
(573) 888-0920
Mailing address
105 E. WASHINGTON, KENNETT, MO 63857
(573) 888-1137
(573) 888-0920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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