Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Missouri MSO LLC

Organization Family Medicine Physician · NPI 1538041769

Missouri MSO LLC is a Family Medicine Physician in Florissant, Missouri. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1501 Charbonier Rd
Florissant, MO 63031-5308
Phone: (212) 734-6621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1538041769
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Kohn — Manager · (347) 631-6775
NPI enumeratedJuly 21, 2025
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address4770 White Plains Rd, Bronx, NY 10470-1136

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