person
Thomas A Koenig, SAC
Surgical Physician Assistant in Edgewood, Kentucky
NPI 1689678914

Thomas A Koenig is a Surgical Physician Assistant based in Edgewood, KY and is specialized in Surgical. Thomas A Koenig practices in Edgewood, KY and has the professional credentials of SAC. The NPI Number for Thomas A Koenig is 1689678914 and holds a License No. 02-296 (Kentucky).

The current practice location address for Thomas A Koenig is 560 South Loop Rd, Edgewood, KY and can be reached out via phone at 859-301-2663 and via fax at 859-301-0655. You can also correspond with Thomas A Koenig through the mailing address at 560 SOUTH LOOP RD, EDGEWOOD, KY - 41017-3454 (mailing address contact number: 859-301-2663).

Location: 560 South Loop Rd, Edgewood, KY, 41017-3454
person
Provider Profile Details
NPI Number
1689678914
Provider Name
Thomas A Koenig
Credential
SAC
Provider Entity Type
Individual
Gender
Male
Address
560 South Loop Rd, Edgewood, KY, 41017-3454
Phone Number
859-301-2663
Fax Number
859-301-0655
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CSA98601 01 KY CHOICE CARE PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
560 South Loop Rd
City
State
Zip
41017-3454
Phone Number
859-301-2663
Fax Number
859-301-0655
person
Provider Business Mailing Address Details
Address
560 South Loop Rd
City
State
Zip
41017-3454
Phone Number
859-301-2663
Fax Number
859-301-0655
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
02-296 (Kentucky)
Definition
Definition to come...
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