Individual
KENNETH CHARLES STUDYVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2620 NORTH WESTWOOD, POPLAR BLUFF, MO 63901-9711
(573) 727-2567
(573) 727-2379
Mailing address
2620 NORTH WESTWOOD, POPLAR BLUFF, MO 63901-9711
(573) 727-2567
(573) 727-2379
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DOR5D51
MO
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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