Southern Emergency Services PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

SOUTHERN EMERGENCY SERVICES PLLC

Doing business as

Southern Emergency Services LLC

Practice address

1301 1St St
Kennett, MO 63857-2525

Phone

(573) 888-8400

Fax

(573) 888-6688

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Karn Kuo, MD

Title

President

Phone

(386) 274-7862

Specialties & licenses 1

Addresses

Other names 1

• Southern Emergency Services LLC Doing business as

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1619290335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 CORNERSTONE BLVD",
            "address_2": "SUITE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321177128",
            "telephone_number": "386-274-7862",
            "fax_number": "386-274-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 1ST ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572525",
            "telephone_number": "573-888-8400",
            "fax_number": "573-888-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EMERGENCY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "KUO",
        "authorized_official_first_name": "KARN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-274-7862",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Emergency Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soporex DME, Inc.
• Southaven Inc
• Southeast Missouri Health Network
• Southeast Missouri Health Network
• Southern Emergency Services I PLC
• Loren Sowell
• Della Sparks
• Holly Marie Spencer
• Aaron Stacey, B.S.
• Lisa D Stacks, PSR TECH

• Emergency Medicine Physician in Kennett, MO
• Providers in Kennett, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.