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Contact Information

HOLLY J KREIENKAMP
571 DOTSON RD
CUBA, MO65453-6146
 Phone: 573-259-3512
 Fax: 573-732-3172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Transportation Broker

347E00000X
Indicates primary specialty

NPI Profile & details for

NPI # 1013575612
Entity Organization
Organization subpart 1 Not specified
Enumeration date 05/30/2019
Last updated 05/30/2019 - About 7 years ago
Identifiers
MO License # 12042
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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