Individual
PAMELA SUE KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9518 KOSTA DR, CINCINNATI, OH 45231
(513) 692-0619
Mailing address
9518 KOSTA DR, CINCINNATI, OH 45231
(513) 692-0619
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17000638
NPN INSURANCE
OH
05
—
3124665
—
OH
Enumeration date
01/25/2021
Last updated
01/25/2021
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