Individual
KEONHO KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
812 N KEENE ST, COLUMBIA, MO 65201-6633
(573) 817-3000
(573) 879-6950
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2021-01892
NC
207Y00000X
Otolaryngology Physician
Primary
2025029226
MO
207Y00000X
Otolaryngology Physician
30284
MS
Other
Enumeration date
04/06/2015
Last updated
07/21/2025
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