Individual
TAMMY J KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11245 HURON ST, WESTMINSTER, CO 80234-2806
(303) 743-5855
Mailing address
13083 KEARNEY ST, THORNTON, CO 80602-9135
(303) 457-0977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125574
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016167
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
03/04/2008
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