Organization
PEMISCOT COUNTY MEMORIAL HOSPITAL
Active
Other names
Bootheel Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY NOBLE (CEO)
(573) 359-3612
Entity
Organization
Contact information
Practice address
105 E WASHINGTON ST, KENNETT, MO 63857-2041
(573) 888-1137
(573) 888-0920
Mailing address
105 E. WASHINGTON, KENNETT, MO 63857
(573) 888-1137
(573) 888-0920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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