Organization, Name | Practice Address | Practice Phone | Taxonomy | NPI |
Cook, Mrs. Nancy Jane LPC | 11921 Mason Rd Licking MO 65542-9066 | 417-217-1078 | 101YP2500X | 1538322284 |
Crase, Dr. Douglas A MD | 233 S Main St Licking MO 65542 | 573-674-3011 | 207Q00000X | 1295115236 |
MEDICAID MO : 200052063 || OTHER MO CLIA : 26D0679044 || OTHER KS KANSAS MEDICAL LICENSE : 04-39253 || OTHER MO MEDICARE PART B : 132450013 || OTHER MO MEDICARE PART B : 501010023 |
Goble, Dr. Adrienne Jill PHARMD | 101 North Main St Licking MO 65542-9026 | 573-674-3932 | 183500000X | 1457606824 |
Hall, Miss Whitney J PA-C | 233 S Main St Licking MO 65542-0047 | 573-674-3011 | 363A00000X | 1124437330 |
OTHER MO CLIA : 26D0679044 || MEDICAID MO : 1124437330 |
Ibrahim, Jihad Y M.D. | 255 W Highway 32 Licking MO 65542-9076 | 573-674-4470 | 207R00000X | 1043464431 |
Jeffery, Mrs. Natalie Martha RN | 135 College Ave. Licking MO 65542-0000 | 573-673-1089 | 163W00000X | 1457597924 |
Keeling, Ms. Dianna Lavee FNP | 233 S Main St Licking MO 65542-9325 | 573-674-3011 | 363LF0000X | 1609115237 |
OTHER MO RR MCR : P01235241 || MEDICAID MO : 1609115237 || MEDICAID MO : 420002899 || OTHER MO CLIA : 26D0679044 || OTHER MO TRICARE : 431560263 |
Lasater, Marie Elizabeth RN, MSN, CCRN, CNRN | 14786 Highway 63 Licking MO 65542-8274 | 573-364-7551 | 163W00000X | 1316382419 |
Light, Angela | 12920 Shafer Rd Licking MO 65542-9413 | 417-260-4160 | 171M00000X | 1932538709 |
Milholen, Ms. Linda S MD | 10981 Highway 63 Licking MO 65542-9869 | 417-399-4707 | 208600000X | 1174596548 |
MEDICAID MO : 205687908 || MEDICAID MO : 1174596548 || OTHER MO RAILROAD MEDICARE : P00171332 |
O'brien, Mrs. Arlene J LPC | 15423 Mccloy Road Licking MO 65542 | 417-260-7707 | 101Y00000X | 1154766806 |
MEDICAID MO : 1154766806 |
Poland, Melinda Mae M.S., CCC/SLP | 209 Hickory St Licking MO 65542-9847 | 304-685-5963 | 235Z00000X | 1912226036 |
Rinne, Dr. Jeremy PHARMD | 100 Deer Lick St Licking MO 65542-9081 | 573-674-2995 | 183500000X | 1568055846 |
Wallace, Robin Sue SLP | 17674 W Highway 32 Licking MO 65542-9018 | 573-201-8534 | 235Z00000X | 1720755283 |
Wells, Mr. Richard Lee | 120 Brooks St Apt 17 Licking MO 65542-8031 | 573-889-9534 | 101YP2500X | 1841493434 |
MEDICAID MO : 498829100 |
Wolfe, Dr. Joshua P MD | 233 S Main St Licking MO 65542-0047 | 573-674-3011 | 207Q00000X | 1316262280 |
OTHER MO CLIA : 26D0679044 || MEDICAID MO : 1316262280 |
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