Willow Family Medicine, Llc

LBN: Willow Family Medicine, Llc
Willow Family Medicine, Llc is an health care organization with primary practice located at 304 Teaco Rd Suite A, Kennett MO 63857-3266. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Willow Family Medicine, Llc can be contacted via phone (573) 888-0303, or through Puckett, Jennifer Renee via phone (573) 888-0303.

Contact Information

Primary practice address
304 Teaco Rd Suite A Kennett MO 63857-3266
Phone: (573) 888-0303
Fax: (573) 888-0304
Website:
Map and Directions
Authorized official contact:
Name: Puckett, Jennifer Renee Doctor of Osteopathy (DO)
Phone: (573) 888-0303

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2006013170 Missouri
Ambulatory Health Care Facilities / Rural Health 261QR1300X 2006013170 Missouri

Profile Details

NPI number 1720272834
LBN Legal business name Willow Family Medicine, Llc
DBA Doing business as
Authorized official Puckett, Jennifer Renee Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2007
Last updated Feb 7th, 2008 - about 17 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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