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

Vienna Family Practice LLC

Organization Family Medicine Physician · NPI 1790816759

Vienna Family Practice LLC provides Family Medicine Physician services in Vienna, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
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

111 Pkwy
Vienna, MO 65582-8003 Not confirmed with CMS for 18 years — call before visiting
Phone: (573) 422-3360
Fax: (573) 422-3391
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D0106518 (MO)

Record details

NPI number1790816759
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Segall — Owner · (573) 422-3360
Other names Vienna Family Practice Clinic
NPI enumeratedMarch 8, 2007
Last updated in NPPESJuly 31, 2008
Mailing address111 Parkway, Vienna, MO 65582-8003

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