Individual
DR. RICHARD KENTON KOONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D C
Contact information
Practice address
1123 REINOEHL ST, LEBANON, PA 17046-2842
(717) 273-3741
(717) 273-3741
Mailing address
1123 REINOEHL ST, LEBANON, PA 17046-2842
(717) 273-3741
(717) 273-3741
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
DC001697L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064111
HIGHMARK
PA
Enumeration date
04/26/2006
Last updated
07/08/2007
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