Individual
DR. KYLE ANDREW KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0404
Mailing address
PO BOX 100316, GAINESVILLE, FL 32610-0316
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
03230310
OH
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS46345
FL
Other
Enumeration date
10/02/2019
Last updated
10/09/2019
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