Individual
KELLY NICOLE KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W PEARL ST, FINDLAY, OH 45840
(419) 424-0380
(419) 424-1888
Mailing address
200 W PEARL ST, FINDLAY, OH 45840
(419) 424-0380
(419) 427-1888
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
129326
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2013
Last updated
04/28/2017
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