# ONCARE

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

## Provider details

- **NPI number:** 1578978755
- **Authorized official:** DR. KEVIN W LOUDERBACK PSYD HHP MHT PHD (OWNER)
- **Authorized official phone:** (417) 553-9583

## Contact information

- **Practice address:** 918 SUNSHINE DR, MOUNT VERNON, MO 65712-1735
- **Practice address phone:** (417) 553-9583
- **Practice address fax:** (417) 553-9585
- **Mailing address:** 918 SUNSHINE DR, MOUNT VERNON, MO 65712-1735
- **Mailing address phone:** (417) 553-9583
- **Mailing address fax:** (417) 553-9585

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2014
- **Last updated:** 05/05/2015