Individual
KRISTOPHER KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 DOUGHERTY FERRY RD, KIRKWOOD, MO 63122-2536
(314) 213-6110
Mailing address
424 BACH AVE, KIRKWOOD, MO 63122-5302
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
04/25/2025
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