KIRKSVILLE ALLERGY AND ASTHMA, LLC
NPI 1730359340
Allergy & Immunology - Allergy in Kirksville, MO

Active since March 11, 2008CLIA 26D2028581 · Waiver
610 ROSEWOOD DR, KIRKSVILLE, MO 63501(660) 627-2553(660) 665-0448 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kirksville Allergy And Asthma, Llc NPPES

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

KIRKSVILLE ALLERGY AND ASTHMA, LLC (NPI 1730359340) is a healthcare organization registered as an allergy in Kirksville, Missouri and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Tracy Talton, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1730359340
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameKIRKSVILLE ALLERGY AND ASTHMA, LLC
Location Address610 ROSEWOOD DRKirksville, MO 63501-2477
Mailing Address610 Rosewood DrKirksville, MO 63501-2477 · (660) 627-2553 · Fax (660) 665-0448
Fax(660) 665-0448
Organization SubpartNo
Authorized OfficialTracy TaltonClinic Manager · (660) 627-2553
Enumeration DateMarch 11, 2008
Last NPPES UpdateOctober 1, 2013
NPI 1730359340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in MO · 19139861
Definition

A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

610 ROSEWOOD DR, Kirksville, MO 63501

Other Identifiers 2

Medicare PIN000014751MO
Medicaid500382205MO

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2028581

Kirksville Allergy & Asthma, LLC · Kirksville, MO
Active · expires Aug 18, 2027
CLIA Number26D2028581
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorLarry L. Ciesemier
Laboratory Phone(660) 627-2553
Laboratory LocationKirksville Allergy & Asthma, LLC610 Rosewood Drive, Kirksville, MO 63501
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Family Medicine
610 ROSEWOOD DR
KIRKSVILLE, MO 63501
Family Medicine
610 ROSEWOOD DR
KIRKSVILLE, MO 63501
Internal Medicine (Allergy & Immunology)
610 ROSEWOOD DR
KIRKSVILLE, MO 63501

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 Kirksville Allergy And Asthma, LLC's NPI number?

The NPI number for Kirksville Allergy And Asthma, LLC is 1730359340. It was assigned to this organization in the NPPES registry on March 11, 2008.

Where is Kirksville Allergy And Asthma, LLC located?

Kirksville Allergy And Asthma, LLC is located at 610 Rosewood Dr, Kirksville, MO 63501. The listed phone number is (660) 627-2553.

What is Kirksville Allergy And Asthma, LLC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Does Kirksville Allergy And Asthma, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2028581) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kirksville Allergy And Asthma, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Kirksville Allergy And Asthma, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kirksville Allergy And Asthma, LLC was last updated on October 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.