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

Grace Family Medical Clinic, LLC

Organization Internal Medicine Physician · NPI 1780119651

Grace Family Medical Clinic, LLC is an Internal Medicine Physician in Caruthersville, Missouri. Licensed in Missouri. Registered with an NPI since 2017.

Licensed in
MO
In the registry since
2017
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

1206 Ward Ave
Caruthersville, MO 63830-2204
Phone: (573) 922-5111
Fax: (573) 922-5126
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 117451 (MO)

Record details

NPI number1780119651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Kulpeksa — Owner · (573) 922-5111
NPI enumeratedApril 27, 2017
Last updated in NPPESApril 27, 2017
Mailing address1206 Ward Ave, Caruthersville, MO 63830-2204

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