Individual
DR. RICKY LAVAUGHN KIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N MAIN ST, VA OUTPATIENT CLINIC, MOUNT VENON, MO 65712
(417) 466-0137
(417) 466-0184
Mailing address
600 N MAIN ST, VA OUTPATIENT CLINIC, MOUNT VENON, MO 65712
(417) 466-0137
(417) 466-0184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R5E45
MO
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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