Beryl Jeanette Kime, M.D.
Individual provider Active NPI Family Medicine Physician · Mount Vernon, MO
NPI 1528076122 · NPPES record last updated Nov 14, 2008
Key facts
- NPI
- 1528076122
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 042103 (GA)
- Practice address
- 600 N Main St
Mount Vernon, MO 65712-1004 - Phone
- (417) 466-0123
- Fax
- (417) 466-0199
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042103 | GA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 042103 | GA | Yes |
Addresses
Primary practice location
600 N Main St
Mount Vernon, MO 65712-1004
Mailing address
600 N Main St
Mount Vernon, MO 65712-1004
Phone (417) 466-0123
Other providers in Mount Vernon, MO
- Lorri A Julian-Trotter
- Wendy Kalbaugh
- Kendel L Klein
- Malinda K Kendrick
- Laura Kester
- Mary Ann P. Kit
- Kendel L Klein
- Tracy Knight
- Billie Knipfer
- Ethan Kristek
All providers in Mount Vernon, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.