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

Kirksville Specialty Clinic LLC

Organization Rheumatology Physician · NPI 1386126308

Kirksville Specialty Clinic LLC is a Rheumatology Physician in Kirksville, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1108 E Patterson St Ste 10
Kirksville, MO 63501-4043
Phone: (660) 956-0487
Fax: (660) 956-0446
Show map & directions

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

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence R6C73 (MO)
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1386126308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Neuendorf — Ceo · (573) 886-8904
NPI enumeratedSeptember 6, 2018
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020
Mailing address1108 E Patterson St Ste 10, Kirksville, MO 63501-4043