Healthcare Provider Details

I. General information

NPI: 1588314033
Provider Name (Legal Business Name): TENEME KONNE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5210 N BELT HWY
SAINT JOSEPH MO
64506-1211
US

IV. Provider business mailing address

1544 30TH ST
DES MOINES IA
50311-2927
US

V. Phone/Fax

Practice location:
  • Phone: 816-271-1330
  • Fax: 816-271-1333
Mailing address:
  • Phone: 515-577-2878
  • Fax: 816-271-1333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2025046241
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: