Individual
KENNETH B MCVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1720 KANELL BLVD, SUITE 1, POPLAR BLUFF, MO 63901-4009
(573) 778-1336
(573) 778-1336
Mailing address
PO BOX 1618, POPLAR BLUFF, MO 63902-1618
(573) 778-1336
(573) 778-1336
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R4N69
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507265502
—
MO
Enumeration date
08/15/2006
Last updated
10/16/2013
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