# PRIMARY CARE MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kenneth E Schafermeyer Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528116910
- **Authorized official:** KENNETH ERICH SCHAFERMEYER DO (PRESIDENT)
- **Authorized official phone:** (573) 635-2141

## Contact information

- **Practice address:** 2709 INDUSTRIAL DR STE A, JEFFERSON CITY, MO 65109-0769
- **Practice address phone:** (573) 635-2141
- **Practice address fax:** (573) 635-5240
- **Mailing address:** 2709 INDUSTRIAL DR STE A, JEFFERSON CITY, MO 65109-0769
- **Mailing address phone:** (573) 635-2141
- **Mailing address fax:** (573) 635-5240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO106076 | MO | — |
| 207Q00000X | Family Medicine Physician | DO33555 | MO | — |
| 207Q00000X | Family Medicine Physician | R8652 | MO | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 10/23/2008