Organization · Type 2 NPI

Kneibert Clinic LLC

Rural Health Clinic/Center · Poplar Bluff, MO

NPI number 1104804699 Active

Practice location

686 Lester St
Poplar Bluff, MO 63901

Call (573) 686-2411 Map

Fax (573) 686-8452

Mailing address

PO Box 220
Poplar Bluff, MO 63902

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Pediatrics Physician 208000000XNone listed
Psychiatry Physician 2084P0800XNone listed
Rural Health Clinic/Center Primary 261QR1300XNone listed

Rural Health Clinic/Center: Definition to come...

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About NPI 1104804699

Kneibert Clinic LLC's National Provider Identifier is 1104804699, issued on Jan 4, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Poplar Bluff, MO. The record was last updated on Mar 22, 2012.