Kearney Family Medicine

NPI #1912114539 in Kearney, Missouri

Provider Information

NPI Number: 1912114539
Entity Type: Organization
Organization Name: Kearney Family Medicine
Primary Specialty: Clinic/Center
Enumeration Date: May 16, 2007
Last Updated: Oct 1, 2007

Practice Location

Address: 305 S PLATTE CLAY WAY
City: Kearney
State: Missouri
ZIP Code: 64060-8214
Phone: (816) 628-4409

Authorized Official

Name: CARL E LEDBETTER, D.O.
Title: PRESIDENT
Phone: (816) 628-4409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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