Organization
BROOKFIELD FAMILY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KEVIN KNOWLES D.O. (PHYSICIAN/OWNER)
(660) 258-3363
Entity
Organization
Contact information
Practice address
624 WEST LOCKLING, BROOKFIELD, MO 64628-2336
(660) 258-3363
(660) 258-5409
Mailing address
624 WEST LOCKLING, BROOKFIELD, MO 64628-2336
(660) 258-3363
(660) 258-5409
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
R9F17
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242289007
—
MO
Enumeration date
11/18/2011
Last updated
11/18/2011
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