| Kenneth E Schafermeyer Family Practice | |
|
2709 Industrial Dr Ste A Jefferson City MO 65109-0769 | |
| (573) 635-2141 | |
| (573) 635-5240 |
| Full Name | Kenneth E Schafermeyer Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2709 Industrial Dr Ste A, Jefferson City, Missouri |
| Authorized Official Name and Position | Kenneth Erich Schafermeyer (PRESIDENT) |
| Authorized Official Contact | 5736352141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth E Schafermeyer Family Practice 2709 Industrial Dr Ste A Jefferson City MO 65109-0769 Ph: (573) 635-2141 | Kenneth E Schafermeyer Family Practice 2709 Industrial Dr Ste A Jefferson City MO 65109-0769 Ph: (573) 635-2141 |
| NPI Number | 1528116910 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 10/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528116910 | NPI | - | NPPES |
| 504013509 | Medicaid | MO | |
| CI8553 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R8652 (Missouri) | Primary |
| 207Q00000X | Family Medicine | DO106076 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | DO33555 (Missouri) | Secondary |
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