Willow Family Medicine, LLC

NPI #1720272834 in Kennett, Missouri

Provider Information

NPI Number
1720272834
Entity Type
Organization
Organization Name
Willow Family Medicine, LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Aug 31, 2007
Last Updated
Feb 7, 2008

Practice Location

Address
304 TEACO RD
Address 2
SUITE A
ZIP Code
63857-3266
Phone
(573) 888-0303

Authorized Official

Name
JENNIFER RENEE PUCKETT, DO
Title
PHYSICIAN, OWNER
Phone
(573) 888-0303

Specialties & Taxonomy Codes

Specialty
Family Medicine
Clinic/Center - Rural HealthRural Health

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