Individual
DR. KRISTA L KOINZAN-BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
101 S MAIN ST, ROGERSVILLE, MO 65742-9357
(417) 753-9404
(417) 753-9137
Mailing address
101 S MAIN ST, ROGERSVILLE, MO 65742-9357
(417) 753-9404
(417) 753-9137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
108854
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811950900
—
MO
05
—
243981107
—
MO
01
—
P00282287
RR MEDICARE
—
Enumeration date
04/10/2006
Last updated
10/16/2023
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