Southeast Missouri Health Network

Specialty details in registry · Sikeston, MO

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At a glance

835 W Murray Ln, Sikeston, MO 63801-4056

NPPES record updated Apr 14, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

835 W Murray Ln
Sikeston, MO 63801-4056
Professional details: NPI, taxonomy & registry record
NPI1619513215
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QF0400X
Enumeration date
Nov 19, 2019
Record updated
Apr 14, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QF0400X · Primary

Specialty details in registry

261QM1300X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

835 W Murray Ln
Sikeston, MO 63801-4056
Phone
(573) 472-8808
Mailing address
6738 STATE HIGHWAY 77

BENTON, MO 637368238
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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