Organization
PRIMARY CARE MEDICINE PC
Active
Other names
Kenneth E Schafermeyer Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ERICH SCHAFERMEYER DO (PRESIDENT)
(573) 635-2141
Entity
Organization
Contact information
Practice address
2709 INDUSTRIAL DR STE A, JEFFERSON CITY, MO 65109-0769
(573) 635-2141
(573) 635-5240
Mailing address
2709 INDUSTRIAL DR STE A, JEFFERSON CITY, MO 65109-0769
(573) 635-2141
(573) 635-5240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO106076
MO
207Q00000X
Family Medicine Physician
DO33555
MO
207Q00000X
Family Medicine Physician
Primary
R8652
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504013509
—
MO
01
—
CI8553
RAILROAD MEDICARE
—
Enumeration date
01/08/2007
Last updated
10/23/2008
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