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

Kirksville Academic Medicine LLC

Organization Family Medicine Physician · NPI 1396876355

Kirksville Academic Medicine LLC is a Family Medicine Physician in Kirksville, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
5
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

800 W Jefferson St
Kirksville, MO 63501-1443
Phone: (660) 626-2235
Fax: (660) 626-2090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (MO)
Family Medicine Physician Taxonomy 207Q00000X (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X (MO)
Urology Physician Taxonomy 208800000X
Family Nurse Practitioner Taxonomy 363LF0000X (MO)

Record details

NPI number1396876355
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKirksville Academic Medicine LLC
Authorized official Debbie Brewer — Director Of Provider Enrollment · (877) 892-9813
NPI enumeratedMarch 8, 2007
Last updated in NPPESOctober 21, 2009
Mailing address800 W Jefferson St, Kirksville, MO 63501-1443

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