Koenigsmark, Kyli W

Koenigsmark, Kyli W is an individual health care provider with primary practice located at 1532 Lone Oak Rd Ste 405, Paducah KY 42003-7913. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Koenigsmark, Kyli W can be contacted via phone (270) 441-4300.

Contact Information

Primary practice address
1532 Lone Oak Rd Ste 405 Paducah KY 42003-7913
Phone: (270) 441-4300
Fax: (240) 441-4370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3003337 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3003337 Kentucky

Profile Details

NPI number 1376549543
LBN Legal business name Koenigsmark, Kyli W
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 8th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376549543 NPPES
Kentucky MEDICAID 78005220

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