Individual
THOMAS A KENIGSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 JOHNSTOWN CENTER DR, JOHNSTOWN, CO 80534-9030
(970) 587-4974
(970) 587-5466
Mailing address
1010 N COUNTRY CLUB DR, MESA, AZ 85201-3309
(480) 461-2409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37268
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01372689
—
CO
Enumeration date
03/23/2006
Last updated
02/13/2009
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