Organization
KNEIBERT CLINIC LLC
Active
Other names
Kneibert North
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E CHRISTIAN (ADMINISTRATOR)
(573) 778-7210
Entity
Organization
Contact information
Practice address
2588 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901
(573) 785-5909
(573) 785-3911
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
Enumeration date
01/04/2006
Last updated
02/22/2008
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