NPI 1023002573

Stephen Michael Bush, MD

Practitioner Surgery Physician Kennett, MO

Practice location

Address: 509 South Byp, Kennett, MO 63857-3248
Phone: (573) 888-0555
Fax: (573) 888-0556
Mailing address: PO Box 405454, Atlanta, GA 30384-5454

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 2000158294 (MO)

Other Surgery providers in Missouri →

Registry record

NPI: 1023002573
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2005
Record last updated: 23 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.