Willow Family Medicine, Llc in Kennett - Family Medicine
Willow Family Medicine, Llc - NPI 1720272834
Willow Family Medicine, Llc is a Family Medicine in Kennett, Missouri. Willow Family Medicine, Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Willow Family Medicine, Llc is 1720272834. The last update date is 2008-02-07.
Willow Family Medicine, Llc's current location address is 304 Teaco Rd, Kennett, Missouri. You can contact this provider via phone number 5738880303 and fax number 5738880304. The mailing address for Willow Family Medicine, Llc is 304 Teaco Rd, Kennett, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willow Family Medicine, Llc |
|---|---|
| Address | 304 Teaco Rd, Kennett, Missouri |
| Phone Number | 5738880303 |
| Fax Number | 5738880304 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN, |
|---|---|
| Authorized Official Name | Puckett Renee Jennifer |
| Credentials | DO |
| Telephone Number | 5738880303 |
NPI Number Detail
| NPI Number | 1720272834 |
|---|---|
| Provider Enumeration Date | 2007-08-31 |
| Last Updated Date | 2008-02-07 |
Provider Mailing Address Detail
| Address | 304 Teaco Rd |
|---|---|
| City | Kennett |
| State | Missouri (MO) |
| Post Code | 638573266 |
| Phone Number | 5738880303 |
| Fax Number | 5738880304 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2006013170 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Willow Family Medicine, Llc's 1720272834?
The Willow Family Medicine, Llc's NPI (National Provider Identifier) Number is 1720272834. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Willow Family Medicine, Llc?
The Willow Family Medicine, Llc is physically situated at 304 Teaco Rd, in the city of Kennett, state of MO, with the postal code 638573266.
What is the area of specialization for Willow Family Medicine, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Willow Family Medicine, Llc is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Willow Family Medicine, Llc receive the assignment of its 1720272834 from the Centers for Medicare & Medicaid Services?
The Willow Family Medicine, Llc was issued its 1720272834 by the Centers for Medicare & Medicaid Services on 2007-08-31.
When was the information pertaining to Willow Family Medicine, Llc most recently updated or revised?
The details related to Willow Family Medicine, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-07.
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