Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK KEVIN PEEBLES, PA-C
ActivePhysician Assistant · SEYMOUR, MO
Registration Details
- NPI Number
- 1275743841
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2007 (18.954779533542 yrs)
- Last Updated
- Feb 10, 2020
- Licenses
-
1629 (OK)2011011364 (MO)
Practice Information
- Address
-
418 W STEEL STSEYMOUR, MO, 657468832Browse MO providers · Browse ZIP 65746
- Phone
- 4179352239
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.