Individual
KEVIN P RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 N MAIN ST, SIKESTON, MO 63801-5043
(573) 472-7120
(573) 472-7129
Mailing address
1015 N MAIN ST, SIKESTON, MO 63801-5043
(573) 472-7120
(573) 472-7129
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
117380
MO
2086S0129X
Vascular Surgery Physician
Primary
117380
MO
2086S0129X
Vascular Surgery Physician
25764
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203829916
—
MO
Enumeration date
09/20/2006
Last updated
07/28/2015
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