Individual
ACHENKUNJU K GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.C., F.C.
Contact information
Practice address
1115 ALASKA ST STE 114, WEST PLAINS, MO 65775-2000
(417) 257-5950
(417) 257-5924
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-5950
(417) 257-5924
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD106574
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129018001
—
AR
05
—
207644501
—
MO
Enumeration date
11/06/2006
Last updated
07/21/2022
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