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Kenyn L. Koop, MD
Family Medicine Physician in Janesville, Wisconsin
NPI 1124507439

Kenyn L. Koop is a Family Medicine Physician based in Greenville, WI. Kenyn L. Koop practices in Janesville, WI and has the professional credentials of MD. The NPI Number for Kenyn L. Koop is 1124507439 and holds a License No. 7185-851 (Wisconsin).

The current practice location address for Kenyn L. Koop is 849 Kellogg Ave, Janesville, WI and can be reached out via phone at 608-755-7960.

Location: 849 Kellogg Ave, Janesville, WI, 29601-2842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124507439
Provider Name
Kenyn L. Koop
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
849 Kellogg Ave, Janesville, WI, 29601-2842
Phone Number
608-755-7960
Fax Number
Provider Enumeration Date
08/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 SC
institution
Provider Business Practice Location Address Details
Address
849 Kellogg Ave
City
Janesville
State
Wisconsin
Zip
53546-2808
Phone Number
608-755-7960
Fax Number
person
Provider Business Mailing Address Details
Address
849 Kellogg Ave
City
Janesville
State
Wisconsin
Zip
53546-2808
Phone Number
608-755-7960
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
86593 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
7185-851 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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