Individual
DR. JOHN CURTIS EDWARD KOENIG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3570 VIGO RD, BAGDAD, KY 40003-8022
(502) 747-8666
(502) 747-8666
Mailing address
3570 VIGO RD, BAGDAD, KY 40003-8022
(502) 747-8666
(502) 747-8666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19605
KY
2080P0203X
Pediatric Critical Care Medicine Physician
19605
KY
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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