Kennett Open MRI LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

KENNETT OPEN MRI LLC

Practice address

402 Recovery Rd
Kennett, MO 63857-3235

Phone

(573) 888-1320

Fax

(573) 888-9704

NPI assigned

Oct 26, 2010

Organization subpart

No

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

Authorized official

Name

Stacey L Gallaher

Title

Billing

Phone

(573) 335-1779

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1235439191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W MAIN ST",
            "address_2": "STE A",
            "city": "STEELE",
            "state": "MO",
            "postal_code": "638771436",
            "telephone_number": "573-695-2183",
            "fax_number": "573-695-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 RECOVERY RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573235",
            "telephone_number": "573-888-1320",
            "fax_number": "573-888-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETT OPEN MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "GALLAHER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "573-335-1779"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Kennett, MO
• Providers in Kennett, MO by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.