Individual
MEGAN BETHANY KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1605 E BROADWAY STE 110, COLUMBIA, MO 65201-8023
(573) 815-8130
(573) 815-8149
Mailing address
1605 E BROADWAY STE 110, COLUMBIA, MO 65201-8023
(573) 815-8130
(573) 815-8149
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022030337
MO
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/13/2021
Last updated
12/30/2024
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