Organization
KENNETT OPEN MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY L GALLAHER (BILLING)
(573) 335-1779
Entity
Organization
Contact information
Practice address
402 RECOVERY RD, KENNETT, MO 63857-3235
(573) 888-1320
(573) 888-9704
Mailing address
216 W MAIN ST, STE A, STEELE, MO 63877-1436
(573) 695-2183
(573) 695-2796
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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