# MRS. DIANA LOUISE KOENIG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356510895
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2008008627 | MO | Yes |

## Other

- **Enumeration date:** 02/28/2008
- **Last updated:** 02/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1356510895 | — | MO |
| 01 | — | 26D0679044 | CLIA (LICKING) | MO |
| 01 | — | 26D0889777 | CLIA (MOB) | MO |
| 01 | — | 26D1050027 | CLIA | MO |
| 01 | — | 597780303 | RH MEDICAID | MO |