KENNETH L. DERRINGTON M.D. – NPI #1124023940
Family Medicine

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 is not limited by age, sex, organ system, or disease entity.

KENNETH DERRINGTON is a physician located in GRAVOIS MILLS, MO. NPPES has assigned the NPI number 1124023940 to KENNETH DERRINGTON on June 17, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Mar 19, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH DERRINGTON below.

NPI Profile for
KENNETH L. DERRINGTON

NPI Number
1124023940
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH L. DERRINGTON
Credentials
M.D.
Primary location
156 MISSOURI BLVD STE B
GRAVOIS MILLS, MO 65037-5394
Phone: (573) 374-5263 Fax: (573) 374-4933
Mailing address
PO BOX 1519
LAURIE, MO 65038-1519
Phone: (573) 374-5800 Fax: (573) 374-5697
Sole Proprietor
No
Updated
Identifiers

Identifiers for KENNETH DERRINGTON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMO LICENSEMOR9A11
MEDICAIDMO201366010
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MO R9A11

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.