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Individual

PETER KONIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
404 N KEENE ST, COLUMBIA, MO 65201-6626
(573) 882-6921
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 882-3974
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD35900
MO
2080P0214X
Pediatric Pulmonology Physician
Primary
35900
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102525
HEALTHLINK
MO
05
200528602
MO
01
2086740001
KANSAS MEDICAID
KS
01
4809002
UNITED HEALTHCARE
MO
01
6114
BLUE SHIELD/BLUE CHOICE
MO
Enumeration date
06/01/2006
Last updated
03/17/2018
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