Massey Family Care | |
304 Teaco Rd Suite B Kennett MO 63857-3266 | |
(573) 888-6100 | |
(573) 888-6184 |
Full Name | Massey Family Care |
---|---|
Speciality | Family Medicine |
Location | 304 Teaco Rd, Kennett, Missouri |
Authorized Official Name and Position | Amy D Ledbetter (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 5736514488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Massey Family Care 304 Teaco Rd Suite B Kennett MO 63857-3266 Ph: (573) 888-6100 | Massey Family Care 304 Teaco Rd Suite B Kennett MO 63857-3266 Ph: (573) 888-6100 |
NPI Number | 1043485873 |
---|---|
Provider Enumeration Date | 04/23/2008 |
Last Update Date | 04/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043485873 | NPI | - | NPPES |
500445408 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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