John Kendall Ethridge in Springfield - Obstetrics & Gynecology
John Kendall Ethridge - NPI 1306042619
John Kendall Ethridge is a Obstetrics & Gynecology in Springfield, Missouri. John Kendall Ethridge practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for John Kendall Ethridge is 1306042619. The last update date is 2018-07-10.
John Kendall Ethridge's current location address is Po Box 4046, Springfield, Missouri. You can contact this provider via phone number 4172695712 and fax number 4172697567. The mailing address for John Kendall Ethridge is Po Box 4046, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Kendall Ethridge |
|---|---|
| Address | Po Box 4046, Springfield, Missouri |
| Phone Number | 4172695712 |
| Fax Number | 4172697567 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306042619 |
|---|---|
| Provider Enumeration Date | 2007-06-23 |
| Last Updated Date | 2018-07-10 |
Provider Mailing Address Detail
| Address | Po Box 4046 |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658084046 |
| Phone Number | 4172695712 |
| Fax Number | 4172697567 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 25614 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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What is the unique 10-digit identification code issued to John Kendall Ethridge by the Centers for Medicare & Medicaid Services?
The John Kendall Ethridge has been assigned the NPI (National Provider Identifier) 1306042619 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the John Kendall Ethridge located?
The John Kendall Ethridge is located at Po Box 4046, Springfield, MO 658084046.
What is the John Kendall Ethridge's specialty and taxonomy code?
The John Kendall Ethridge's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 207V00000X.
On what date did the John Kendall Ethridge receive its 1306042619 assignment from the Centers for Medicare & Medicaid Services?
The John Kendall Ethridge was assigned its 1306042619 by the Centers for Medicare & Medicaid Services on 2007-06-23.
As of what date was the information regarding John Kendall Ethridge, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Kendall Ethridge, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-07-10.