Kelsey Elyse Koenig, PA-C

NPI #1962973982 in O Fallon, Illinois

Provider Information

NPI Number: 1962973982
Entity Type: Individual
Name: Kelsey Elyse Koenig, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 17, 2018
Last Updated: Mar 19, 2021

Practice Location

Address: 310 N 7 HILLS RD STE 220
City: O Fallon
State: Illinois
ZIP Code: 62269-4111
Phone: (618) 624-6181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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