Individual
KEVIN J KOENIGSKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 W LAKE LANSING RD STE 250, EAST LANSING, MI 48823-6371
(517) 333-8533
Mailing address
830 W LAKE LANSING RD STE 250, EAST LANSING, MI 48823-6371
(517) 333-8533
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010463
MI
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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