3 Friends LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

17278171 Issued in MO

Legal business name

3 FRIENDS LLC

Practice address

161 S Benton Ave
Suite 1
Marshall, MO 65340-1836

Phone

(660) 831-5304

Fax

(660) 831-5304

NPI assigned

Aug 25, 2006

Last updated

Dec 31, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Janice Kueker, CFM

Title

Partner

Phone

(660) 831-5304

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1114035797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 S BENTON AVE",
            "address_2": "SUITE 1",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653401836",
            "telephone_number": "660-831-5304",
            "fax_number": "660-831-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 S BENTON AVE",
            "address_2": "SUITE 1",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653401836",
            "telephone_number": "660-831-5304",
            "fax_number": "660-831-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 FRIENDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "KUEKER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "660-831-5304",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MO",
            "license": "17278171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624973905",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Marshall, MO
• Providers in Marshall, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.