Individual
RICHELLE J KOOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2325 SMILEY LN, COLUMBIA, MO 65202-1947
(573) 884-8980
(573) 884-0040
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007021707
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200587400
—
MO
Enumeration date
08/29/2006
Last updated
09/02/2022
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