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Organization
MASSEY FAMILY CARE LLC
Active
Organization
MASSEY FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINA KAY MASSEY MD (MD OWNER)
(573) 888-6100
Entity
Organization
Contact information
Practice address
304 TEACO RD, STE B, KENNETT, MO 63857
(573) 888-6100
(573) 888-6184
Mailing address
304 TEACO RD, STE B, KENNETT, MO 63857
(573) 888-6100
(573) 888-6184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/03/2006
Last updated
09/06/2007
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