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General NPI Number Information
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NPI Number | 1295997211
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Entity Type | Individual
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Provider Name | EDNA WONG MCKINSTRY M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 1125 MADISON ST
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City | JEFFERSON CITY
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State | MO
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Zip | 65101-5227
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Country | US
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Telephone | 573-632-5000
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Fax | 573-634-2033
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Provider Business Mailing Address
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Address Line | PO BOX 843966
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City | KANSAS CITY
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State | MO
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Zip | 64184-3966
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Country | US
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Telephone | 573-884-3300
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Fax | 573-884-0943
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036145058
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 44626
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | Q2870
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01079554A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2016009554
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2016-01960
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2016-01960
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2016009554
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License Number State | MO
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