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

Kirksville Specialty Clinic LLC

Organization Rheumatology Physician · NPI 1386126308

Kirksville Specialty Clinic LLC provides Rheumatology Physician services in Kirksville, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
Specialties on file
2
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 →

Practice location Address checks out

1108 E Patterson St Ste 10
Kirksville, MO 63501-4043
Phone: (660) 956-0487
Fax: (660) 956-0446
Show map & directions

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

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence R6C73 (MO)
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1386126308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Neuendorf — Ceo · (573) 886-8904
NPI enumeratedSeptember 6, 2018
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020
Mailing address1108 E Patterson St Ste 10, Kirksville, MO 63501-4043