Griffith, Kean D
Griffith, Kean D is an individual health care provider with primary practice located at 3098 Oak Grove Rd , Poplar Bluff MO 63901-8938. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Griffith, Kean D can be contacted via phone (573) 776-9911.Contact Information
Primary practice address
3098 Oak Grove Rd
Poplar Bluff MO 63901-8938
Phone: (573) 776-9911
Fax: (573) 776-9913
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 2002008821 | Missouri |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2002008821 | Missouri |
Profile Details
| NPI number | 1821077660 |
|---|---|
| LBN Legal business name | Griffith, Kean D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Sep 1st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821077660 | NPPES |
| Arkansas | MEDICAID | 146373001 | |
| Arkansas | Other | 020051831 | |
| Arkansas | MEDICAID | 203346812 |
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