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Search › Missouri › 207Q00000X

Tysen Petre, D.O

NPI 1871642470 · on the registry since 2007

Practice

Address
1611 S Baltimore St
Kirksville, MO 63501
Phone
(660) 665-7575
Fax
(660) 665-7576
Organisation at this address
Kb Kirksville Pharmacy Llc
Kb Kirksville Pharmacy Llc
Physician Services Of Missouri Llc
Hannibal Regional Healthcare System, Inc
Hannibal Regional Healthcare System, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Additional practice sites

  • 1206 N Missouri St, Macon, MO

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri