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

Physician Management Services of Southern Missouri, LLC

Organization Family Medicine Physician · NPI 1164932893

Physician Management Services of Southern Missouri, LLC is a Family Medicine Physician in O Fallon, Missouri. Works from 3 locations. Registered with an NPI since 2017.

In the registry since
2017
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1002 Peruque Crossing Ct
O Fallon, MO 63366-2362
Phone: (888) 829-8550
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 1611 S Baltimore St, Kirksville, MO 63501-4518 — (888) 829-8550
  • 1131 W Kansas St, Liberty, MO 64068-2281 — (888) 829-8550

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1164932893
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVaxcare Corporation
Authorized official Brett Kenefick — President · (888) 829-8550
NPI enumeratedOctober 9, 2017
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address800 N Magnolia Ave Ste 700, Orlando, FL 32803-3264

Other providers in O Fallon