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

Northeast Missouri Medical Providers LLC

Organization Emergency Medicine Physician · NPI 1427409713

Northeast Missouri Medical Providers LLC is an Emergency Medicine Physician in Louisiana, Missouri. Registered with an NPI since 2016.

In the registry since
2016
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

2305 Georgia St
Louisiana, MO 63353-2559
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1427409713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Kondas — Officer · (973) 251-1132
NPI enumeratedJune 28, 2016
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021
Mailing address13737 Noel Rd Ste 1600, Dallas, TX 75240-1374

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