Provider Demographics
NPI:1760757942
Name:KOENIG, JOHN CURTIS EDWARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CURTIS EDWARD
Last Name:KOENIG
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3570 VIGO RD
Mailing Address - Street 2:
Mailing Address - City:BAGDAD
Mailing Address - State:KY
Mailing Address - Zip Code:40003-8022
Mailing Address - Country:US
Mailing Address - Phone:502-747-8666
Mailing Address - Fax:502-747-8666
Practice Address - Street 1:3570 VIGO RD
Practice Address - Street 2:
Practice Address - City:BAGDAD
Practice Address - State:KY
Practice Address - Zip Code:40003-8022
Practice Address - Country:US
Practice Address - Phone:502-747-8666
Practice Address - Fax:502-747-8666
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
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Provider Licenses
StateLicense IDTaxonomies
KY19605208000000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine