Welcome to Van Buren County Hospital

Roger Millhouse, D.O.

Greetings I am Dr. Millhouse. A little bit about myself. Life started in an orphanage for me. I was adopted into a wonderful family at the age of 5. My dad died at a young age so I was raised by my mother with help from her parents, and grew up most of my life in Idaho. Before Idaho I had lived some of the time in Pennslyvania.  At 19 I joined the Navy, deployed a couple times, met my first wife during that time. Sadly she passed away from a pulmonary embolism while I was on my second deployment. I left the navy with an honorable discharge to pursue medicine hoping I could make a difference. I completed my undergraduate work at Lewis Clark state College in Lewiston, Idaho. It was during this time I was able to find love again, get remarried. We have 3 beautiful children. I was accepted to medical school in Arizona at AT STILL School of Osteopathic Medicine completing that in 2019, and came to Kirksville MO for my Family Medicine Residency, completing that in June of 2024. Rural communities are my preference as I prefer the slower, more peaceful setting of life rather than the hustle and bustle of bigger cities which I have lived in. My top priority is my family.  My interests include family medicine, hospice/palliative medicine, medical care for veterans as I am a veteran myself, as well as both hospital and clinical medicine.  My hobbies include spending quality time with good friends, listening to music, playing piano, dancing, writing stories, reading, watching new movies in the theater, traveling,  spending time by the water such as a lake or a river, and enjoying sunsets and sunrises.  I look forward to connecting with this community and connecting my family to this community. I hope to build bridges, collaborate with people to improve their physical and mental health, partnering  withthem to provide the best care I can give as we share this in these special moments during this beautiful journey we call life.   

Dianne Knapp, ARNP

Dianne received her Masters in Nursing from Clarkson College in Omaha NE.  She has been a family nurse practitioner for the past 24 years.  She and her husband farm in Davis County and love the rural environment as their home.  She provides care for all ages.  She is certified as a DOT Examiner.  While family practice provides care for a wide variety of health care, she has a special interest in diabetic care.

Kyla I. Yates, ARNP

Kyla joined the VBCH team December 2020 as a Family Nurse Practitioner.  Prior to becoming a Nurse Practitioner, she worked at the local nursing home as a Nurse Manager completing the MDS for Medicare, Medicaid and Insurance Reimbursement for almost 9 years, so she has worked with Van Buren County Residents and families for over 10 years. She started as  CNA in 2001, obtained her Associate's Degree in 2008 and worked at Blessing Hospital on the Med/Surg units until moving back to Clark County. Kyla was also a traveling nurse for some bigger hospitals in Galesburg and Peoria, Illinois. This allowed her to see so many different diagnosis and cultures along with making friends with some amazing people that she still keep in touch with. When offered the job at Keosauqua Health Care Center (formerly Good Samaritan Society) in 2012, she decided that it would be nice to sleep in her own bed every night. 

When Kyla is not at work, she enjoys outside activities with her husband, Rowdy and son, Preston. They live in rural Clark County, Missouri where they have cows and horses. She would ride her horses every day if time and weather allowed. Also, the Yates' are big St. Louis Cardinals fans! Kyla also loves Harry Potter and Grey's Anatomy! 

She is able to see patients from birth far into retirement and is certified to complete DOT physicals. "I have not found my exact niche' as far as a Nurse Practitioner, so right now I love seeing anyone and everyone". 

Nathalie Francis, MD

Nathalie Francis, MD is a board-certified family medicine physician who provides relationship-driven, evidence-based primary care with a focus on women’s health, pediatrics, and preventative care.

Dr. Francis cares for patients of all ages—from newborns to seniors—helping them take a proactive approach to identifying health risks, maintaining optimal health, and reducing complications from chronic conditions.

You can trust her to listen with compassion, communicate clearly, and deliver the kind of care she would want for herself and her family