Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Family Medicine of Southeast Missouri, LLC

Organization Family Medicine Physician · NPI 1619145612

Family Medicine of Southeast Missouri, LLC provides Family Medicine Physician services in Sikeston, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
Specialties on file
2
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

808 E Wakefield Ave
Sikeston, MO 63801-5147 Not confirmed with CMS for 15 years — call before visiting
Phone: (573) 620-6444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X · Licence 2005013758 (MO)

Record details

NPI number1619145612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vicki Roberts — Owner · (573) 620-6444
NPI enumeratedFebruary 13, 2008
Last updated in NPPESSeptember 8, 2011
Mailing address808 E. Wakefield Avenue, Family Medcine Of Southeast Missouri, Sikeston, MO 63801-5100

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