Individual
HOWARD ANDREW PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1236 N JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024-1119
(816) 637-8900
(816) 637-4011
Mailing address
1236 N JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024-1119
(816) 637-8900
(816) 637-4011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6C90
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201487311
—
MO
01
—
P00215637
MEDICARE RR
MO
Enumeration date
01/30/2006
Last updated
09/27/2017
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