Individual
MS. KRISTEN ANN KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2900
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00556378
—
CO
01
—
026041
KAISER COMMERCIAL NUMBER
CO
01
—
P00944706
MEDICARE RAILROAD CARRIER PTAN
CO
Enumeration date
06/02/2010
Last updated
05/10/2021
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