Kenneth A Decoursey, Md Pc
LBN: Kenneth A Decoursey, Md Pc
Kenneth A Decoursey, Md Pc is an health care organization with primary practice located at 1723 Broadway St Suite 120, Cape Girardeau MO 63701-4505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Kenneth A Decoursey, Md Pc can be contacted via phone (573) 334-7194, or through Decoursey, Kenneth A via phone (573) 334-7194.
Contact Information
Primary practice address
1723 Broadway St Suite 120
Cape Girardeau MO 63701-4505
Phone: (573) 334-7194
Fax: (573) 334-4937
Website:
Authorized official contact:
Name: Decoursey, Kenneth A Doctor of Medicine (MD)
Phone: (573) 334-7194
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1144278607 |
|---|---|
| LBN Legal business name | Kenneth A Decoursey, Md Pc |
| DBA Doing business as | |
| Authorized official | Decoursey, Kenneth A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Aug 22nd, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144278607 | NPPES |
| Missouri | Other | 131268 | BLUE CROSS/BLUE SHIELD |
| Missouri | Other | 180360 | BLUE CROSS/BLUE SHIELD |
| Missouri | Other | 0106771 | BLUE CROSS/BLUE SHIELD |
| Missouri | Other | 649138 | BLUE CROSS/BLUE SHIELD |
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