Kelly Ann Koenig
NPI #1083184154 in Manning, South Carolina
Provider Information
- NPI Number
- 1083184154
- Entity Type
- Individual
- Name
- Kelly Ann Koenig
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Nov 30, 2018
- Last Updated
- Jun 25, 2021
Practice Location
- Address
- 1376 BREAM AVE
- City
- Manning
- State
- South Carolina
- ZIP Code
- 29102-8456
- Phone
- (803) 460-1521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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