Provider Demographics
NPI:1235708934
Name:KONIG, EMILY WILLIAMS (OD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:WILLIAMS
Last Name:KONIG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:810 HAMBLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-9114
Mailing Address - Country:US
Mailing Address - Phone:606-218-5540
Mailing Address - Fax:606-218-5541
Practice Address - Street 1:810 HAMBLEY BLVD
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-9114
Practice Address - Country:US
Practice Address - Phone:606-218-5540
Practice Address - Fax:606-218-5541
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618003039152W00000X
KY2343DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist