Kenneth S Koenig in Redding - General Practice
Kenneth S Koenig - NPI 1396961470
Kenneth S Koenig is a General Practice in Redding, California. Kenneth S Koenig practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth S Koenig is 1396961470. The last update date is 2020-08-11.
Kenneth S Koenig's current location address is Po Box 491836, Redding, California. You can contact this provider via phone number 5302461139 and fax number 5302469958. The mailing address for Kenneth S Koenig is Po Box 491836, Redding, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth S Koenig |
|---|---|
| Address | Po Box 491836, Redding, California |
| Phone Number | 5302461139 |
| Fax Number | 5302469958 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1396961470 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2020-08-11 |
Provider Mailing Address Detail
| Address | Po Box 491836 |
|---|---|
| City | Redding |
| State | California (CA) |
| Post Code | 960491836 |
| Phone Number | 5302461139 |
| Fax Number | 5302469958 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | G63182 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G631820 | CA | -- |
Post Comment/ Review Below
What is the Kenneth S Koenig's 1396961470?
The Kenneth S Koenig's NPI (National Provider Identifier) Number is 1396961470. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kenneth S Koenig is physically located?
The Kenneth S Koenig is physically situated at the following address: Po Box 491836, Redding, CA, 960491836.
What is Kenneth S Koenig's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth S Koenig is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396961470 to Kenneth S Koenig?
The Centers for Medicare & Medicaid Services originally issued the 1396961470 to Kenneth S Koenig on 2007-04-18.
When was the information regarding Kenneth S Koenig, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth S Koenig, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-11.