person
Kenneth S Koenig, MD
General Practice Physician in Redding, California
NPI 1396961470

Kenneth S Koenig is a General Practice Physician based in Redding, CA. Kenneth S Koenig practices in Redding, CA and has the professional credentials of MD. The NPI Number for Kenneth S Koenig is 1396961470 and holds a License No. G63182 (California).

The current practice location address for Kenneth S Koenig is 8935 Olney Park Dr, Redding, CA and can be reached out via phone at 530-246-1139 and via fax at 530-246-9958.

Location: 8935 Olney Park Dr, Redding, CA, 96049-1836
person
Provider Profile Details
NPI Number
1396961470
Provider Name
Kenneth S Koenig
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8935 Olney Park Dr, Redding, CA, 96049-1836
Phone Number
530-246-1139
Fax Number
530-246-9958
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G631820 05 CA
institution
Provider Business Practice Location Address Details
Address
8935 Olney Park Dr
City
State
Zip
96001-9717
Phone Number
530-246-1139
Fax Number
530-246-9958
person
Provider Business Mailing Address Details
Address
8935 Olney Park Dr
City
State
Zip
96001-9717
Phone Number
530-246-1139
Fax Number
530-246-9958
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
G63182 (California)
Definition
Definition to come...
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