- Practice location
- 304 Teaco RD Ste A, Kennett, MO 63857-3268
- Phone
- 573-717-1072
- Fax
- —
- Last updated
- June 12, 2023
Mcpherson Medical & Diagnostic, LLC is a healthcare organization based in Kennett, MO. Mcpherson Medical & Diagnostic, LLC practices in Kennett, MO. The NPI Number for Mcpherson Medical & Diagnostic, LLC is 1124679774. The current practice location address for Mcpherson Medical & Diagnostic, LLC is 304 Teaco RD Ste A, Kennett, MO 63857-3268 and can be reached out via phone at 573-717-1072.
Provider Profile Details
- NPI Number
- 1124679774
- Provider Name
- Mcpherson Medical & Diagnostic, LLC
- Provider Entity Type
- Organization
- Address
- 304 Teaco RD Ste A, Kennett, MO 63857-3268
- Phone Number
- 573-717-1072
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Amelia Doris Ledbetter · Director Of Operations · 573-335-4715
- Provider Enumeration Date
- September 25, 2019
- Last Update Date
- June 12, 2023
- Certification Date
- June 12, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 304 Teaco RD Ste A
Kennett, MO 63857-3268 - City
- Kennett
- State
- Missouri
- Zip
- 63857-3268
- Phone Number
- 573-717-1072
Provider Business Mailing Address Details
- Address
- Po Box 12545
Belfast, ME 04915-4016 - City
- Belfast
- State
- ME
- Zip
- 04915-4016
License Information
- Taxonomy (1)
- Clinic/Center · 261Q00000X
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Kennett, MO
View all Family Medicine providers in Kennett →Frequently Asked Questions
What is the NPI number of Mcpherson Medical & Diagnostic, LLC?
The NPI number of Mcpherson Medical & Diagnostic, LLC is 1124679774. It was assigned on September 25, 2019 and is currently active in the NPPES registry.
What is the specialty of Mcpherson Medical & Diagnostic, LLC?
Mcpherson Medical & Diagnostic, LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Mcpherson Medical & Diagnostic, LLC practice?
The practice location is 304 Teaco RD Ste A, Kennett, MO 63857-3268. The office can be reached at 573-717-1072 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124679774 directly on the NPPES registry website.