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Individual

DR. LOUIS P KRENN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3805 S KANSAS EXPY STE B, SPRINGFIELD, MO 65807-6989
(417) 269-0269
(417) 269-0279
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002014066
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
189223
BLUE CROSS
05
209150408
MO
Enumeration date
08/14/2006
Last updated
04/23/2018
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