Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHYSICIAN SERVICES OF MISSOURI LLC
NPI 1164792032
Family Medicine in Kirksville, MO

Q: What is Physician Services Of Missouri LLC's NPI number?

The NPI number for Physician Services Of Missouri LLC is 1164792032. It was assigned to this organization in the NPPES registry on January 9, 2012.

Q: What is Physician Services Of Missouri LLC's specialty?

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

Active since January 09, 2012

1611 S BALTIMORE ST, KIRKSVILLE, MO 63501(859) 514-5547(859) 422-4907 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 24, 2026, May 21, 2026 (2 updates tracked since 2026).

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About Physician Services Of Missouri Llc NPPES

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

PHYSICIAN SERVICES OF MISSOURI LLC (NPI 1164792032) is a healthcare organization registered as a family medicine in Kirksville, Missouri and active in the NPI registry since January 2012. The organization maintains a secondary practice location in Liberty and lists Casey Deloach, Manager, as its authorized official.

NPPES Registry Identity

NPI1164792032

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePHYSICIAN SERVICES OF MISSOURI LLC

Location Address1611 S BALTIMORE STKirksville, MO 63501-4536

Mailing Address989 Governors Ln, Suite 160Lexington, KY 40513-1173 · (859) 514-5547 · Fax (859) 422-4907

Phone(859) 514-5547

Fax(859) 422-4907

Organization SubpartYesParent: Vaxcare Corporation

Authorized OfficialCasey DeloachManager · (888) 829-8550

Enumeration DateJanuary 9, 2012

Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1164792032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

1611 S BALTIMORE ST, Kirksville, MO 63501

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Secondary Practice Location 1

Location 11131 W Kansas StLiberty, MO 64068-2281 · Phone (888) 829-8550

Other Identifiers 1

OtherPHC059Medicare Ptan

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

Other Providers at the Same Location NPPES 17

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

BROOKE APRIL SPRAGUE FNP-C

Nurse Practitioner (Family)