| Kimberly A Schisler D O P C | |
|
2210 Barron Rd Poplar Bluff MO 63901-1908 | |
| (573) 785-1333 | |
| (573) 785-1488 |
| Full Name | Kimberly A Schisler D O P C |
|---|---|
| Speciality | Family Medicine |
| Location | 2210 Barron Rd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Kimberly A Schisler (PHYSICIAN) |
| Authorized Official Contact | 5737851333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly A Schisler D O P C 2210 Barron Rd Poplar Bluff MO 63901-1908 Ph: (573) 785-1333 | Kimberly A Schisler D O P C 2210 Barron Rd Poplar Bluff MO 63901-1908 Ph: (573) 785-1333 |
| NPI Number | 1871547372 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 09/14/2010 |
| Medicare PECOS PAC ID | 1759453293 |
|---|---|
| Medicare Enrollment ID | O20080627000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871547372 | NPI | - | NPPES |
| 244707907 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Schisler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386681328 PECOS PAC ID: 4385605971 Enrollment ID: I20041027000003 |
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