Whalio Doctors

NPI 1093710113

Jon Kevin Richter, MD

Practitioner Family Medicine Physician Branson, MO

Practice location

Address
5136 State Highway 265, Branson, MO 65616-9099
Phone
(417) 338-0960
Fax
(417) 338-0968
Mailing address
PO Box 505673, Saint Louis, MO 63150-5673

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2024021907 (MO)

Registry record

NPI
1093710113
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jun 2005
Record last updated
29 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.