Kenneth Charles Studyvin, DO | |
2620 North Westwood, Poplar Bluff, MO 63901-9711 | |
(573) 727-2567 | |
(573) 727-2379 |
Full Name | Kenneth Charles Studyvin |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2620 North Westwood, Poplar Bluff, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922041342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | DOR5D51 (Missouri) | Primary |
Entity Name | Poplar Bluff Emergency Physicians, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679822647 PECOS PAC ID: 0648424614 Enrollment ID: O20130129000611 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Charles Studyvin, DO 2620 North Westwood, Poplar Bluff, MO 63901-9711 Ph: (573) 727-2567 | Kenneth Charles Studyvin, DO 2620 North Westwood, Poplar Bluff, MO 63901-9711 Ph: (573) 727-2567 |
Edward Patrick Kreulen, FNP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599 | |
Laurence Dow Hutchinson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-7721 | |
Christopher R Pinderski, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 217 Physicians Park, Poplar Bluff, MO 63901 Phone: 573-686-6001 | |
Charles S. Krin, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-7721 | |
Raymond Benjamin Ketting, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-785-7721 | |
Dr. Richard Eugene Draper, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000 |