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

Physician Services of Missouri LLC

Organization Family Medicine Physician · NPI 1164792032

Physician Services of Missouri LLC is a Family Medicine Physician in Kirksville, Missouri. Works from 2 locations. Registered with an NPI since 2012.

In the registry since
2012
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

1611 S Baltimore St
Kirksville, MO 63501-4536
Phone: (859) 514-5547
Fax: (859) 422-4907
Show map & directions

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

Additional practice locations (1)

  • 1131 W Kansas St, Liberty, MO 64068-2281 — (888) 829-8550

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1164792032
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVaxcare Corporation
Authorized official Casey Deloach — Manager · (888) 829-8550
NPI enumeratedJanuary 9, 2012
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address989 Governors Ln, Suite 160, Lexington, KY 40513-1173

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