Individual
TYSEN J PETRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1611 S BALTIMORE ST, KIRKSVILLE, MO 63501-4518
(660) 665-7575
(660) 665-7576
Mailing address
1611 S BALTIMORE ST, KIRKSVILLE, MO 63501-4518
(660) 665-7575
(660) 665-7576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006004444
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BNDD
400608434
MO
Enumeration date
01/10/2007
Last updated
09/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us