Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Medicine of Southeast Missouri, LLC

Organization Family Medicine Physician · NPI 1619145612

Family Medicine of Southeast Missouri, LLC is a Family Medicine Physician in Sikeston, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

808 E Wakefield Ave
Sikeston, MO 63801-5147
Phone: (573) 620-6444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X · Licence 2005013758 (MO)

Record details

NPI number1619145612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vicki Roberts — Owner · (573) 620-6444
NPI enumeratedFebruary 13, 2008
Last updated in NPPESSeptember 8, 2011
Mailing address808 E. Wakefield Avenue, Family Medcine Of Southeast Missouri, Sikeston, MO 63801-5100

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