| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1104182450 | BROWN | WAYNE | KARLTON | 704 E HIGHWAY 28 | OWENSVILLE | MO | 650661588 | |
| 1841690658 | HEADRICK | KERI | ANN | 704 E HIGHWAY 28 | OWENSVILLE | MO | 650661588 | |
| 1245451806 | SHOUPE | DIANA | L. | 704 E HIGHWAY 28 | OWENSVILLE | MO | 650661588 |