Individual
DR. GEORGE P KERKEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 231-3783
(573) 231-3784
Mailing address
100 MEDICAL DR, P.O. BOX 311, HANNIBAL, MO 63401-6877
(573) 231-3783
(573) 231-3784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R6A59
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201726015
—
MO
Enumeration date
01/11/2006
Last updated
01/02/2014
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