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DOCTORS INN CLINIC LLC
NPI 1114117306
Family Medicine in Kennett, MO

Active since July 25, 2007
1112 SOUTH BYP STE C, SUITE C, KENNETT, MO 63857(573) 717-1776(573) 717-1572 Get Directions Write a Review

NPPES record last updated: February 26, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Doctors Inn Clinic Llc NPPES

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

DOCTORS INN CLINIC LLC (NPI 1114117306) is a healthcare organization registered as a family medicine in Kennett, Missouri and active in the NPI registry since July 2007. The organization lists Debbie A Wade, Np, as its authorized official.

NPPES Registry Identity

NPI1114117306
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDOCTORS INN CLINIC LLC
Location Address1112 SOUTH BYP STE C, SUITE CKennett, MO 63857-3738
Mailing Address1112 South Byp, Suite CKennett, MO 63857-3738 · (573) 717-1776 · Fax (573) 717-1572
Phone(573) 717-1776
Fax(573) 717-1572
Organization SubpartNo
Authorized OfficialDebbie A WadeNp · (573) 717-1776
Enumeration DateJuly 25, 2007
Last NPPES UpdateFebruary 26, 2010
✔ NPI 1114117306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2000148413
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1112 SOUTH BYP STE C, Kennett, MO 63857
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Other Identifiers 8

Other150606001MO · Arkansas Medicaid
Medicare PIN000094864MO
Medicare PIN263907MO
OtherSM707MO · Blue Cross Arkansas
Medicaid595409004MO
Medicare UPING89308MO
Medicare OSCAR/certification263907MO
Other109494A-001MO · Blue Cross Missouri

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doctors Inn Clinic LLC's NPI number?

The NPI number for Doctors Inn Clinic LLC is 1114117306. It was assigned to this organization in the NPPES registry on July 25, 2007.

Where is Doctors Inn Clinic LLC located?

Doctors Inn Clinic LLC is located at 1112 South Byp Ste C Suite C, Kennett, MO 63857. The listed phone number is (573) 717-1776.

What is Doctors Inn Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Doctors Inn Clinic LLC was last updated on February 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.