Doctors Inn Clinic LLC

NPI #1114117306 in Kennett, Missouri

Provider Information

NPI Number: 1114117306
Entity Type: Organization
Organization Name: Doctors Inn Clinic LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 25, 2007
Last Updated: Feb 26, 2010

Practice Location

Address: 1112 SOUTH BYP STE C
Address 2: SUITE C
City: Kennett
State: Missouri
ZIP Code: 63857-3738
Phone: (573) 717-1776

Authorized Official

Name: DEBBIE A WADE, NP
Title: NP
Phone: (573) 717-1776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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