KENNETH S KOENIG (NPI# 1396961470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396961470 |
| Entity Type | Individual |
| Full Name | KENNETH S KOENIG |
| Credential | M.D. |
| Practice Address |
8935 Olney Park Dr Redding CA 96001-9717 |
| Mailing Address |
Po Box 491836 Redding CA 96049-1836 |
| Practice Telephone | 5302461139 |
| Practice Fax Number | 5302469958 |
| Mailing Telephone | 5302461139 |
| Mailing Fax Number | 5302469958 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G63182 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G631820 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679606719 | Kenneth Lowell Koenig | Psychiatry & Neurology | 217 National St, Santa Cruz, CA 95060-6518 | 2007-03-14 |
| Street Address |
8935 OLNEY PARK DR |
| City | REDDING |
| State | CA |
| Zip Code | 96001-9717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1952531758 | David James Kyle | General Practice | 1907 Vale Dr, Redding, CA 96002-1601 | 2009-07-15 |
| 1598774499 | Barry Blaine Billington | General Practice | 1115 Whiskeytown Court, Suite A, Redding, CA 96001 | 2006-08-07 |
| 1548205826 | Rioh Medical Group | General Practice | 1710 Churn Creek Rd, Redding, CA 96002-0236 | 2006-06-19 |
| 1861446528 | Rodney M Thompson | General Practice | 1710 Churn Creek Road, Redding, CA 96002 | 2006-05-19 |
| 1871721100 | Sean Patrick Dugan | General Practice | 1035 Placer St, Redding, CA 96001-4545 | 2009-06-25 |
| 1013119353 | Andrew L Knapp Do PC | General Practice | 1100 Butte St, Redding, CA 96001-0852 | 2007-05-31 |
| 1306931969 | David J. Weist, Md, Inc | General Practice | 1100 Butte Street, Redding, CA 96001 | 2006-10-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.