SearchMissouri207Q00000X

Jason Keophaphone, DO

NPI 1124689518 · on the registry since 2019

Practice

Address
1125 Madison Street
Jefferson City, MO 65101
Phone
(816) 679-0493
Organisation at this address
Mission Emergency
Lhcg Cxxxxiii, Llc
Capital Care Pharmacy
Capital Region Medical Center
Capital Region Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
181

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-06-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri