Individual
MELISSA RENEE KOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1600 EAST BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Mailing address
1600 EAST BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
2012028475
MO
363LF0000X
Family Nurse Practitioner
2012028475
MO
Other
Enumeration date
08/17/2012
Last updated
03/07/2024
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