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Individual

KENNETH S KOENEMAN

Active
Find providers by NPI
Individual

KENNETH S KOENEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
46470
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040762
PREFERRED ONE
MN
01
—
131340
UCARE
MN
01
—
19-00018
MEDICA-PRIMARY
MN
01
—
19-00591
MEDICA-CHOICE
MN
01
—
2162398
ARAZ
—
01
—
455R5KO
BCBS
MN
01
—
692293
FAIRVIEW
MN
01
—
B715
CHAMPUS
—
01
—
HP40917
HEALTH PARTNERS
MN
Enumeration date
10/13/2006
Last updated
07/08/2007
About Stedi
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