Individual
LINDA A HEADRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 S FAIRVIEW RD, COLUMBIA, MO 65201
(573) 882-4464
(573) 884-8142
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2002020198
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164421
BLUE SHIELD/BLUE CHOICE
MO
05
—
205958705
—
MO
01
—
403624
UNITED HEALTHCARE
MO
01
—
515452
HEALTHLINK
MO
Enumeration date
05/06/2006
Last updated
03/16/2018
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