Organization
KENNETT RADIOLOGY ASSOCIATES
Active
Parent organization
KENNETT HMA PHYSICIAN MANAGEMENT, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNETT HMA PHYSICIAN MANAGEMENT, INC.
Authorized official
MRS. MICHELLE BEACHAM (CONTROLLER)
(573) 888-8424
Entity
Organization
Contact information
Practice address
1301 1ST ST, KENNETT, MO 63857-2525
(573) 888-8424
(573) 888-2715
Mailing address
1231 1ST ST, SUITE 8, KENNETT, MO 63857-2527
(573) 888-8424
(573) 888-2715
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R2G95
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500451901
—
MO
Enumeration date
07/16/2008
Last updated
07/16/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us