KIRKSVILLE SPECIALTY CLINIC LLC – NPI #1386126308
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Health Care Provider Taxonomy Code for Internal Medicine

KIRKSVILLE SPECIALTY CLINIC LLC is a provider located in KIRKSVILLE, MO. NPPES has assigned the NPI number 1386126308 to KIRKSVILLE SPECIALTY CLINIC LLC on September 06, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was previously updated about 6 years ago on Feb 11, 2020. 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 KIRKSVILLE SPECIALTY CLINIC LLC below.

NPI Profile for
KIRKSVILLE SPECIALTY CLINIC LLC

NPI Number
1386126308
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KIRKSVILLE SPECIALTY CLINIC LLC
Primary location
1108 E PATTERSON ST STE 10
KIRKSVILLE, MO 63501-4043
Phone: (660) 956-0487 Fax: (660) 956-0446
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID NEUENDORF
CEO
Phone: (573) 886-8904
Updated
Certification Date
Feb 11, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207RR0500X
- Internal Medicine / Rheumatology (Primary)		 MO R6C73
261QM2500X
- Clinic/Center / Medical Specialty

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.