Individual
ILA D DURKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-8913
(573) 884-6942
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2015021358
MO
2084P0800X
Psychiatry Physician
Primary
2019009041
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200057851
—
MO
Enumeration date
07/10/2015
Last updated
06/15/2022
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