Southeast Missouri Health Network

NPI #1013229749 in Kennett, Missouri

Provider Information

NPI Number
1013229749
Entity Type
Organization
Organization Name
Southeast Missouri Health Network
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 10, 2010
Last Updated
Aug 6, 2014

Practice Location

Address
500 RUSSELL ST
ZIP Code
63857-2102
Phone
(573) 888-3000

Authorized Official

Name
CHRIS JONES
Title
CHIEF EXECUTIVE OFFICER
Phone
(573) 748-2404

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)
Dentist - General PracticeGeneral Practice

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