Individual
MICHAEL KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
1614 DEXTER LAKE DR APT 304, CORDOVA, TN 38016-1320
(615) 775-4115
Mailing address
1614 DEXTER LAKE DR APT 304, CORDOVA, TN 38016-1320
(615) 775-4115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
208343
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
27694
TN
367500000X
Certified Registered Nurse Anesthetist
4035706
KY
Other
Enumeration date
04/19/2020
Last updated
07/10/2025
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