Coralee Ruth Koning is a Medical in Fresno, California. Coralee Ruth Koning practices all healthcare services and medical treatments related to Medical. The NPI Number for Coralee Ruth Koning is 1992793525. The last update date is 2021-09-14.
Coralee Ruth Koning's current location address is 2625 E Divisadero St, Fresno, California. You can contact this provider via phone number 5594432682 and fax number 5594432681. The mailing address for Coralee Ruth Koning is 2625 E Divisadero St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Coralee Ruth Koning |
|---|---|
| Address | 2625 E Divisadero St, Fresno, California |
| Phone Number | 5594432682 |
| Fax Number | 5594432681 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1992793525 |
|---|---|
| Provider Enumeration Date | 2005-10-07 |
| Last Updated Date | 2021-09-14 |
Provider Mailing Address Detail
| Address | 2625 E Divisadero St |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937211431 |
| Phone Number | 5594432682 |
| Fax Number | 5594432681 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA14217 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500655889 | OR | -- | |
| P01238392 | WA | RAILROAD MEDICARE - PHS - WA |
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What is the unique 10-digit identification code issued to Coralee Ruth Koning by the Centers for Medicare & Medicaid Services?
The Coralee Ruth Koning has been assigned the NPI (National Provider Identifier) 1992793525 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Coralee Ruth Koning?
The Coralee Ruth Koning is physically situated at 2625 E Divisadero St, in the city of Fresno, state of CA, with the postal code 937211431.
What is Coralee Ruth Koning's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Coralee Ruth Koning's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date was the 1992793525 assigned to Coralee Ruth Koning?
The Coralee Ruth Koning was issued its 1992793525 on 2005-10-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Coralee Ruth Koning most recently updated or revised?
The details related to Coralee Ruth Koning, including its address, specialty, and other relevant information, were last updated or revised on 2021-09-14.
NPI Number: 1962405167
Address: 4230 Crums Mill Road, Harrisburg, PA