Individual
KYLI W KOENIGSMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1532 LONE OAK RD, STE 405, PADUCAH, KY 42003-7913
(270) 441-4300
(240) 441-4370
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(513) 981-5130
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003337
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78005220
—
KY
Enumeration date
06/22/2005
Last updated
09/14/2024
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