OrganizationActive
A T Still University Health Science
NPI 1508072950 · Geriatric Medicine (Internal Medicine) Physician · Kirksville, MO
Provider details
- NPI number
- 1508072950
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Monnie Harrison, Treasurer Controllers Office
- License
- 2004028645 (MO)
Practice location
500 S Osteopathy
Kirksville, MO 63501
Phone: (660) 626-2136
Fax: (660) 626-2457
Mailing address
800 W Jefferson
Kirksville, MO 63501
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.