Provider Demographics
NPI:1306839402
Name:NEIGHMOND, ABIGAIL A (DO)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:A
Last Name:NEIGHMOND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3810
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-3810
Mailing Address - Country:US
Mailing Address - Phone:417-347-2540
Mailing Address - Fax:417-347-2539
Practice Address - Street 1:3202 MCINTOSH CIR
Practice Address - Street 2:STE 301
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-3646
Practice Address - Country:US
Practice Address - Phone:417-347-2540
Practice Address - Fax:417-347-2539
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001012247207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208428904Medicaid
KS200388320BMedicaid
MO214462OtherANTHEM
P00350059OtherRR MEDICARE
OK200089510AMedicaid
MO214462OtherANTHEM
MOH78792Medicare UPIN