Individual
MRS. BRIGITTE RENEE CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
103 EAST COMMERCIAL STREET, KAHOKA, MO 63445-1701
(660) 727-3377
(660) 727-3775
Mailing address
103 EAST COMMERCIAL STREET, KAHOKA, MO 63445-1701
(660) 727-3377
(660) 727-3775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000146083
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0532044
MEDICAID
IA
05
—
244999603
—
MO
Enumeration date
08/30/2006
Last updated
11/27/2023
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