Individual
KAREN A KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1304 BURNETT DR, TAYLORVILLE, IL 62568-9519
(217) 321-9310
(217) 321-9307
Mailing address
2603 S 6TH ST, SPRINGFIELD, IL 62703-3807
(217) 528-0307
(217) 528-0034
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209010343
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0213081
AANP CERTIFICATION
IL
Enumeration date
03/26/2013
Last updated
01/03/2022
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