Healthcare Provider Details

I. General information

NPI: 1578990529
Provider Name (Legal Business Name): MEDICAL PHYSICIANS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2013
Last Update Date: 11/12/2021
Certification Date: 11/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 S MOUNT AUBURN RD
CAPE GIRARDEAU MO
63703-4918
US

IV. Provider business mailing address

240 S MOUNT AUBURN RD
CAPE GIRARDEAU MO
63703-4918
US

V. Phone/Fax

Practice location:
  • Phone: 573-335-1091
  • Fax: 573-331-8003
Mailing address:
  • Phone: 573-335-1091
  • Fax: 573-331-8003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM KAPP
Title or Position: OWNER
Credential: M.D.
Phone: 573-331-8437