Organization
NORTHWEST FAMILY HEALTH, INC.
Active
Other names
Dekalb Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED KIEHL D.O. (PRESIDENT)
(816) 449-2123
Entity
Organization
Contact information
Practice address
1007 S POLK ST, MAYSVILLE, MO 64469-4030
(816) 449-2123
(816) 449-2125
Mailing address
1007 S POLK ST, MAYSVILLE, MO 64469-4030
(816) 449-2123
(816) 449-2125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
593197007
—
MO
01
—
DB1347
RAILROAD MEDICARE PTAN
—
01
—
P900000
MEDICARE PTAN
—
Enumeration date
04/11/2007
Last updated
12/19/2012
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