Individual
NATHAN KOENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1020 W 18TH ST, SIOUX FALLS, SD 57104-4707
(605) 444-9700
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
1497
SD
363A00000X
Physician Assistant
Primary
1497
SD
Other
Enumeration date
03/27/2018
Last updated
02/08/2024
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