Kerkemeyer, George P

Kerkemeyer, George P is an individual health care provider with primary practice located at 100 Medical Dr , Hannibal MO 63401-6877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kerkemeyer, George P can be contacted via phone (573) 231-3783.

Contact Information

Primary practice address
100 Medical Dr Hannibal MO 63401-6877
Fax: (573) 231-3784
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R6A59 Missouri

Profile Details

NPI number 1083693683
LBN Legal business name Kerkemeyer, George P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jan 2nd, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083693683 NPPES
Missouri MEDICAID 201726015

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