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Organization

KNEIBERT CLINIC LLC

Active
Other names
Kneibert Clinic Rural Health Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT E CHRISTIAN (ADMINISTRATOR)
(573) 778-7210
Entity
Organization

Contact information

Practice address
686 LESTER ST, POPLAR BLUFF, MO 63901
(573) 686-2411
(573) 686-8452
Mailing address
PO BOX 220, POPLAR BLUFF, MO 63902
(573) 686-2411
(573) 686-8452

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149951729
AR
05
595929605
MO
Enumeration date
01/04/2006
Last updated
10/24/2008
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