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NPI Code Detail

MEDICARE: TENEME KONNE MD

MEDICARE: TENEME KONNE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2025046241MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588314033
Entity Type Code : Individual
Provider Name (Legal Business Name) : TENEME KONNE MD
Provider Business Mailing Address
First Line : 1544 30TH ST
Second Line :
City : DES MOINES
State : IA
Zip : 50311-2927
Country : US
Telephone Number : 515-577-2878
Fax Number : 816-271-1333
Provider Business Practice Location Address
First Line : 5210 N BELT HWY
Second Line :
City : SAINT JOSEPH
State : MO
Zip : 64506-1211
Country : US
Telephone Number : 816-271-1330
Fax Number : 816-271-1333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2022
Last Update Date : 12/08/2025

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Directions to “ TENEME KONNE MD” Practice Location

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