| NPI | 1609059815 |
|---|---|
| Doing Business As | KIRKSVILLE VETERANS CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREW H GRIMM Executive Director 660-627-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO R5C53) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2203032101) |
| 363L00000X Nurse Practitioner (Licence: MO 104748) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2010018560) | |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2011-01-24 |