Whalio Doctors

NPI 1235624354

Jeffrey Hackworth, DO

Practitioner Internal Medicine Physician Kirksville, MO

Practice location

Address
315 S Osteopathy Ave, Kirksville, MO 63501-6401
Phone
(660) 785-1000
Mailing address
602 W Link St, Kirksville, MO 63501-4342

Registered specialties (3)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence T8554 (TX)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2018022479 (MO)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 2019036773 (MO)

Registry record

NPI
1235624354
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jun 2018
Record last updated
23 Feb 2023

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.