Individual
MELINDA J KOENINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7 OVERLOOK CIR, WILDER, KY 41076-1474
(859) 466-9088
Mailing address
7 OVERLOOK CIR, WILDER, KY 41076-1474
(859) 466-9088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004196
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100176890
—
KY
Enumeration date
06/04/2007
Last updated
07/26/2013
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