KNEIBERT CLINIC LLC
NPI 1104804699
Clinic/Center - Rural Health in Poplar Bluff, MO

Q: What is Kneibert Clinic LLC's NPI number?

The NPI number for Kneibert Clinic LLC is 1104804699. It was assigned to this organization in the NPPES registry on January 4, 2006.

Q: What is Kneibert Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since January 04, 2006

686 LESTER ST, POPLAR BLUFF, MO 63901(573) 686-2411(573) 686-8452 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kneibert Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KNEIBERT CLINIC LLC (NPI 1104804699) is a healthcare organization registered as a rural health in Poplar Bluff, Missouri and active in the NPI registry since January 2006. The organization lists Robert E Christian, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104804699

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameKNEIBERT CLINIC LLC

Location Address686 LESTER STPoplar Bluff, MO 63901

Mailing AddressPo Box 220Poplar Bluff, MO 63902 · (573) 686-2411 · Fax (573) 686-8452

Phone(573) 686-2411

Fax(573) 686-8452

Organization SubpartNo

Authorized OfficialRobert E ChristianAdministrator · (573) 778-7210

Enumeration DateJanuary 4, 2006

Last NPPES UpdateMarch 22, 2012

✔ NPI 1104804699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

686 LESTER ST, Poplar Bluff, MO 63901

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Other Identifiers 5

Medicare ID-Type Unspecified003001446Travelers Medicare

Medicare ID-Type Unspecified990000585

Medicaid500295407MO

Medicaid107927002AR

Medicare OSCAR/certification263935MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALLY ELIZABETH THURMAN

Community Health Worker