Individual
QUINTIN LEE COKINGTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
290 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-5522
(816) 875-2598
Mailing address
290 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 478-4200
(816) 875-2597
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R9G23
MO
207RP1001X
Pulmonary Disease Physician
04-24934
KS
207RP1001X
Pulmonary Disease Physician
Primary
R9G23
MO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
R9G23
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200374620A
—
KS
05
—
203298401
—
MO
Enumeration date
01/27/2006
Last updated
07/18/2024
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