Individual
CARY DEAN ADKISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Contact information
Practice address
105 N KEENE ST STE 201, COLUMBIA, MO 65201-8131
(573) 499-4990
(573) 442-2120
Mailing address
1705 E BROADWAY STE 100, COLUMBIA, MO 65201-7167
(573) 874-8700
(573) 607-3878
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018044469
MO
Other
Enumeration date
12/17/2018
Last updated
01/30/2025
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