Organization
KIRKSVILLE CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN A PEOPLES (VICE PRESIDENT)
(615) 465-7585
Entity
Organization
Contact information
Practice address
103 S 18TH ST, UNIONVILLE, MO 63565-1642
(660) 947-2300
(660) 947-2307
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7585
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/17/2010
Last updated
06/27/2012
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