Koenig, Kenneth S
Koenig, Kenneth S is an sole proprietor health care provider with primary practice located at 8935 Olney Park Dr , Redding CA 96001-9717. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Koenig, Kenneth S can be contacted via phone (530) 246-1139.Contact Information
Primary practice address
8935 Olney Park Dr
Redding CA 96001-9717
Phone: (530) 246-1139
Fax: (530) 246-9958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G63182 | California |
Profile Details
| NPI number | 1396961470 |
|---|---|
| LBN Legal business name | Koenig, Kenneth S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Aug 11th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396961470 | NPPES |
| California | MEDICAID | 00G631820 |
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