Individual
GHAILA CHINASA KENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-4404
(417) 781-5845
Mailing address
1271 POPLAR AVE, APT 210, MEMPHIS, TN 38104-7245
(901) 422-8642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2019033224
MO
207R00000X
Internal Medicine Physician
35.133010
OH
207R00000X
Internal Medicine Physician
—
NV
208M00000X
Hospitalist Physician
2019033224
MO
Other
Enumeration date
06/10/2014
Last updated
12/12/2024
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