Provider Demographics
NPI:1407473614
Name:VAN NESS, COURTNEY (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:
Last Name:VAN NESS
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:PLACHNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO, MPH
Mailing Address - Street 1:1006 KINGS RD APT C
Mailing Address - Street 2:
Mailing Address - City:KIRKSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63501-2650
Mailing Address - Country:US
Mailing Address - Phone:281-854-4889
Mailing Address - Fax:
Practice Address - Street 1:315 S OSTEOPATHY AVE
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-6401
Practice Address - Country:US
Practice Address - Phone:281-854-4889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-03
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020019398204D00000X
IN02007178A207R00000X
MO2021036004207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM