| Kevin L Pritchett M.d Pc | |
|
100 Springfield Ct O Fallon IL 62269-2495 | |
| (618) 632-3565 | |
| (618) 632-7693 |
| Full Name | Kevin L Pritchett M.d Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Springfield Ct, O Fallon, Illinois |
| Authorized Official Name and Position | Kevin L Pritchett (PRESIDENT) |
| Authorized Official Contact | 6186323565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin L Pritchett M.d Pc 100 Springfield Ct O Fallon IL 62269-2495 Ph: (618) 632-3565 | Kevin L Pritchett M.d Pc 100 Springfield Ct O Fallon IL 62269-2495 Ph: (618) 632-3565 |
| NPI Number | 1902999683 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 03/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902999683 | NPI | - | NPPES |
| P00349295 | Other | IL | MEDICARE RAILROAD |
| 214065 | Other | IL | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036072222 (Illinois) | Primary |
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