Philip Klonowski

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2018043865 Issued in MO

Practice address

5620 W Wildwood Ranch Pkwy
Joplin, MO 64804-4520

Phone

(417) 623-1990

Fax

(417) 623-9931

NPI assigned

Dec 17, 2018

Last updated

Dec 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1164993176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N 2ND ST STE 200",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012894",
            "telephone_number": "636-224-1210",
            "fax_number": "636-946-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 W WILDWOOD RANCH PKWY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044520",
            "telephone_number": "417-623-1990",
            "fax_number": "417-623-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLONOWSKI",
        "first_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018043865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Kirk, DDS
• Whitney Kitchell, RDN
• Gregory Bruce Kivett Jr., DDS
• Heather Kimberly Klatt, D.O.
• Lindsay Dale Kloer, PA
• William Joseph Klontz, MD
• Michael Gerald Knapp, DO
• Phyllis Knickerbocker, CRNA
• Connie Jean Knight, CNM
• Kaydan Lawson Knight, COTA/L

• Professional Counselor in Joplin, MO
• Providers in Joplin, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.