Provider Demographics
NPI:1063964450
Name:KIRBYVILLE R-VI SCHOOL DISTRICT
Entity type:Organization
Organization Name:KIRBYVILLE R-VI SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COOP DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-779-4166
Mailing Address - Street 1:6225 E STATE HIGHWAY 76
Mailing Address - Street 2:
Mailing Address - City:KIRBYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65679-7279
Mailing Address - Country:US
Mailing Address - Phone:417-337-8913
Mailing Address - Fax:417-348-0794
Practice Address - Street 1:6225 E STATE HIGHWAY 76
Practice Address - Street 2:
Practice Address - City:KIRBYVILLE
Practice Address - State:MO
Practice Address - Zip Code:65679-7279
Practice Address - Country:US
Practice Address - Phone:417-337-8913
Practice Address - Fax:417-348-0794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)