Immediate Healthcare Kings Highway
NPI #1639252968 in Cape Girardeau, Missouri
Provider Information
- NPI Number
- 1639252968
- Entity Type
- Organization
- Organization Name
- Immediate Healthcare Kings Highway
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1702 N KINGSHIGHWAY ST
- City
- Cape Girardeau
- State
- Missouri
- ZIP Code
- 63701-2122
- Phone
- (573) 339-2000
Authorized Official
- Name
- DIRENDIA SHACKELFORD
- Title
- MANAGED CARE SPECIALIST
- Phone
- (800) 654-0889
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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