Individual
THOMAS A KOENIG
Active
Individual
THOMAS A KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
02-296
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSA98601
CHOICE CARE PROVIDER ID
KY
Enumeration date
06/01/2005
Last updated
03/06/2008
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