Individual
MR. KEVIN YAN KOENDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2014 WASHINGTON ST, DEPARTMENT OF ORTHOPEDICS, NEWTON, MA 02462-1607
(617) 219-1674
Mailing address
1200 S YORK ST STE 2000, ELMHURST, IL 60126-5634
(331) 221-9004
(331) 221-2748
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA7466
MA
363AS0400X
Surgical Physician Assistant
Primary
085007593
IL
Other
Enumeration date
05/23/2019
Last updated
10/06/2025
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