IndividualActive
Eduard Rasputkov
NPI 1912400763 · Adult Medicine Physician · Kirksville, MO
Provider details
- NPI number
- 1912400763
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 2023029983 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
800 W Jefferson St
Kirksville, MO 63501-1443
Phone: (660) 626-2121
Approximate (ZIP-level) locationGet directions
Mailing address
803 N Osteopathy
Kirksville, MO 63501-1367
Registry dates
- Enumerated
- 2018-03-16
- Last updated
- 2024-05-15
- Certified
- 2024-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.