person
Dr. Jessica Renee King, MD
Family Medicine Physician in Mountain Grove, Missouri
NPI 1649434200

Jessica Renee King is a Family Medicine Physician based in Mountain Grove, MO. Jessica Renee King practices in Mountain Grove, MO and has the professional credentials of MD. The NPI Number for Jessica Renee King is 1649434200 and holds a License No. 2008017836 (Missouri).

The current practice location address for Jessica Renee King is 1905 W 19Th St, Mountain Grove, MO and can be reached out via phone at 417-926-1770 and via fax at 417-926-1785.

Location: 1905 W 19Th St, Mountain Grove, MO, 65711-1287
person
Provider Profile Details
NPI Number
1649434200
Provider Name
Jessica Renee King
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1905 W 19Th St, Mountain Grove, MO, 65711-1287
Phone Number
417-926-1770
Fax Number
417-926-1785
Provider Enumeration Date
07/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26D2006074 01 MO CLIA
504114802 05 MO
26D0889777 01 MO CLIA
1649434200 05 MO
594438806 05 MO
507780302 05 MO
204253207 05 MO
597780303 05 MO
P01296849 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1905 W 19Th St
City
State
Zip
65711-1287
Phone Number
417-926-1770
Fax Number
417-926-1785
person
Provider Business Mailing Address Details
Address
1905 W 19Th St
City
State
Zip
65711-1287
Phone Number
417-926-1770
Fax Number
417-926-1785
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
2008017836 (Missouri)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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