Organization
FAMILY HEALTHCARE OF AUXVASSE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA B KELLEY MD (PRESIDENT OWNER)
(573) 386-5959
Entity
Organization
Contact information
Practice address
201 S MAIN ST, AUXVASSE, MO 65231
(573) 386-5959
(573) 386-5995
Mailing address
PO BOX 190, AUXVASSE, MO 65231-0190
(573) 386-5959
(573) 386-5995
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
106418
MO
Other
Enumeration date
10/29/2007
Last updated
11/19/2007
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