Kenneth L Derrington in Laurie - Family Medicine

Kenneth L Derrington - NPI 1124023940

Kenneth L Derrington is a Family Medicine in Laurie, Missouri. Kenneth L Derrington practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth L Derrington is 1124023940. The last update date is 2018-03-19.

Kenneth L Derrington's current location address is Po Box 1519, Laurie, Missouri. You can contact this provider via phone number 5733745800 and fax number 5733745697. The mailing address for Kenneth L Derrington is Po Box 1519, Laurie, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth L Derrington
Address Po Box 1519, Laurie, Missouri
Phone Number 5733745800
Fax Number 5733745697
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1124023940
Provider Enumeration Date 2005-06-17
Last Updated Date 2018-03-19

Provider Mailing Address Detail

Address Po Box 1519
City Laurie
State Missouri (MO)
Post Code 6503815190
Phone Number 5733745800
Fax Number 5733745697

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No R9A11
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
201366010 MO --
R9A11 MO MO LICENSE

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FAQs about Kenneth L Derrington

What is the unique 10-digit identification code issued to Kenneth L Derrington by the Centers for Medicare & Medicaid Services?

The Kenneth L Derrington has been assigned the NPI (National Provider Identifier) 1124023940 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Kenneth L Derrington is physically located?

The Kenneth L Derrington is situated at the following address: Po Box 1519, Laurie, MO 6503815190.

What is the area of specialization for Kenneth L Derrington, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kenneth L Derrington is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

When did the Kenneth L Derrington receive its 1124023940?

The Kenneth L Derrington was issued its 1124023940 on 2005-06-17, which is the date when the organization was assigned this unique identifier.

When was the information regarding Kenneth L Derrington most recently updated?

The details pertaining to the Kenneth L Derrington, including its address, specialty, and other relevant information, were last refreshed on 2018-03-19.

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