Kenneth Eugene Koenke in Manassas - General Practice
Kenneth Eugene Koenke - NPI 1801955364
Kenneth Eugene Koenke is a General Practice in Manassas, Virginia. Kenneth Eugene Koenke practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Eugene Koenke is 1801955364. The last update date is 2007-07-08.
Kenneth Eugene Koenke's current location address is 13063 Brookmead Dr, Manassas, Virginia. You can contact this provider via phone number 7037949219. The mailing address for Kenneth Eugene Koenke is 13063 Brookmead Dr, Manassas, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth Eugene Koenke |
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Address | 13063 Brookmead Dr, Manassas, Virginia |
Phone Number | 7037949219 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1801955364 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 13063 Brookmead Dr |
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City | Manassas |
State | Virginia (VA) |
Post Code | 20112 |
Phone Number | 7037949219 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 3792 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Kenneth Eugene Koenke's unique identification number?
The Kenneth Eugene Koenke has been assigned the NPI (National Provider Identifier) Number 1801955364 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kenneth Eugene Koenke is located?
The Kenneth Eugene Koenke is situated at the following address: 13063 Brookmead Dr, Manassas, VA, 20112.
What is the area of specialization for Kenneth Eugene Koenke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Eugene Koenke is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1801955364 to Kenneth Eugene Koenke?
The Centers for Medicare & Medicaid Services assigned the 1801955364 to Kenneth Eugene Koenke on 2006-12-08.
As of what date were the Kenneth Eugene Koenke's details last updated?
The information pertaining to the Kenneth Eugene Koenke, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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