Premier Family Physicians, Lc

LBN: Premier Family Physicians, Lc
Premier Family Physicians, Lc is an health care organization with primary practice located at 8 Doctors Park , Cape Girardeau MO 63703-4928. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Premier Family Physicians, Lc can be contacted via phone (573) 651-1333, or through Phillips, Kennneth Dean via phone (573) 651-1333.

Contact Information

Primary practice address
8 Doctors Park Cape Girardeau MO 63703-4928
Phone: (573) 651-1333
Fax: (573) 651-1324
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Kennneth Dean Doctor of Medicine (MD)
Phone: (573) 651-1333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X Missouri

Profile Details

NPI number 1316918949
LBN Legal business name Premier Family Physicians, Lc
DBA Doing business as
Authorized official Phillips, Kennneth Dean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316918949 NPPES
Missouri MEDICAID 508145604

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