Individual
DR. KRISTOFER KOENEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
809 UNIVERSITY BOULEVARD EAST, TUSCALOOSA, AL 35401-2029
(334) 279-1450
(334) 279-1660
Mailing address
PO BOX 934370, ATLANTA, GA 31193-4370
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1979
AL
Other
Enumeration date
05/15/2015
Last updated
07/01/2019
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