Individual
JAMES W NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1608 E EVERGREEN ST, SUITE A, CAMERON, MO 64429-2400
(816) 632-3945
(816) 632-3940
Mailing address
1600 E EVERGREEN ST, PO BOX 557, CAMERON, MO 64429-2400
(816) 632-2101
(816) 649-3383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4G44
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10050637
MEDICARE RAILROAD
MO
05
—
242446870
—
MO
01
—
7850046
MEDICARE PART B
MO
Enumeration date
12/02/2005
Last updated
12/02/2010
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