Kirkley, Scott David

Kirkley, Scott David is an individual health care provider with primary practice located at 1103 W Liberty St , Farmington MO 63640-1921. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kirkley, Scott David can be contacted via phone (573) 756-6751.

Contact Information

Primary practice address
1103 W Liberty St Farmington MO 63640-1921
Phone: (573) 756-6751
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2007007776 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2007007776 Missouri

Profile Details

NPI number 1972604908
LBN Legal business name Kirkley, Scott David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jun 20th, 2022 - about 2 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 1972604908 NPPES
Missouri MEDICAID 207019803

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