Dr Kennon Lee Koenig, DDS is a
Student In An Organized Health Care Education/training Program based in San Antonio, Texas. Dr Kennon Lee Koenig is licensed to practice in Texas (license number 28961) and his current practice location is
7703 Floyd Curl Drive, Msc 7903, Ut Health Science Center At San Antonio, Agd Clinic, San Antonio, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 567-3456.
NPI number for Dr Kennon Lee Koenig is 1245670942 and his current mailing address is 7703 Floyd Curl Drive, Msc 7914, Ut Health Science Center At San Antonio, San Antonio, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245670942.
Healthcare Provider's Profile
| Full Name | Dr Kennon Lee Koenig |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 7703 Floyd Curl Drive, Msc 7903, San Antonio, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245670942
- Provider Enumeration Date: 06/27/2013
- Last Update Date: 06/27/2013
Medical Identifiers
Medical identifiers for Dr Kennon Lee Koenig such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245670942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 28961 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 28961 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kennon Lee Koenig is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kennon Lee Koenig, DDS
7703 Floyd Curl Drive, Msc 7914, Ut Health Science Center At San Antonio,
San Antonio, TX 78229-3000
Ph: (210) 567-3456 | Dr Kennon Lee Koenig, DDS
7703 Floyd Curl Drive, Msc 7903, Ut Health Science Center At San Antonio, Agd Clinic,
San Antonio, TX 78229-3000
Ph: (210) 567-3456 |
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