Active NPI
Patricia Ann Kirn, RDH
- Dental Hygienist
- Marble Hill, MO
National Provider Identifier
1699464164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 001273
- Practice address
- 109 State Highway 51 N
Marble Hill, MO 63764-9151 - Phone
- (573) 238-1110
- Fax
- (573) 238-3845
- NPI assigned
- May 2, 2023
- Last updated
- May 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 001273 | MO | Primary |
Addresses
Primary practice location
109 State Highway 51 N
Marble Hill, MO 63764-9151
Mailing address
408 S Broadview St
Cape Girardeau, MO 63703-5725
Phone (573) 339-1196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001273 | MO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1699464164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 S BROADVIEW ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035725",
"telephone_number": "573-339-1196",
"fax_number": "573-339-7945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 STATE HIGHWAY 51 N",
"city": "MARBLE HILL",
"state": "MO",
"postal_code": "637649151",
"telephone_number": "573-238-1110",
"fax_number": "573-238-3845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRN",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "001273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marble Hill, MO
- J & J Assisted Living
- J & J Assisted Living LLC (J & J Residential Care Facility II)
- Curtis Lee Jansen, D.O.
- Jenny Lynne Keene, LCSW
- Bryan Thomas Kiefer, RPH.
- L Mark Milde DDS PC
- Nicholas James Legrand
- Marble Hill Medical Clinic, LLC
- Marble Hill Medical Clinic, LLC
- Mary's Ranch, Inc. (Marble Hill Assisted Living)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.