Organization
KENDEL L KLEIN
Active
Other names
Country Corner Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENDEL L KLEIN M.D. (DIRECTOR)
(417) 466-7700
Entity
Organization
Contact information
Practice address
101 W PATTERSON ST, MOUNT VERNON, MO 65712-1054
(417) 466-7700
Mailing address
101 W PATTERSON ST, MOUNT VERNON, MO 65712-1054
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
598499606
—
MO
Enumeration date
09/16/2005
Last updated
11/10/2009
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