IndividualActive
Anthony Park
NPI 1861176182 · Family Medicine Physician · Kirksville, MO
Provider details
- NPI number
- 1861176182
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 2024040709 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone: (660) 785-1000
Fax: (660) 785-1154
Approximate (ZIP-level) locationGet directions
Mailing address
315 S Osteopathy Ave
Kirksville, MO 63501-6401
Registry dates
- Enumerated
- 2023-06-15
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.