Organization
DAVID S. KERMODE, DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAIVD S. KERMODE DO (PHYSICIAN)
(660) 665-3640
Entity
Organization
Contact information
Practice address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 665-3640
(660) 626-2004
Mailing address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 665-3640
(660) 262-2004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R4H42
MO
Other
Enumeration date
03/21/2008
Last updated
01/24/2009
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