Kirstie R. Recktenwald
Otolaryngologist (ENT Doctor)
1409 Doctors Dr
West Plains
, Missouri 65775-4754
Kirstie R. Recktenwald
Otolaryngologist (ENT Doctor)
1409 Doctors Dr
West Plains
, Missouri 65775-4754
(417) 255-1373
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Kirstie R. Recktenwald
- 1409 Doctors Dr
- West Plains, MO
- Zip : 65775-4754
- Phone : (417) 255-1373
Second Address
- Kirstie R. Recktenwald
- 1409 Doctors Dr
- West Plains, MO
- Zip : 65775-4754
- Phone : (417) 255-1373
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Is Kirstie R. Recktenwald a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 2013024398 | MO |
National Provider Identifier
| NPI | 1023441672 |
|---|---|
| Provider Name | Kirstie R. Recktenwald |
| First Address | West Plains, MO 65775-4754 |
| Second Address | West Plains, MO 65775-4754 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2013 |
| Last Update Date | 10/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1023441672 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.