Individual
JILL KRISTEN KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 W WASHINGTON ST, LEBANON, IN 46052-2063
(517) 990-7454
Mailing address
710 W WASHINGTON ST, LEBANON, IN 46052-2063
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
10/19/2009
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