Basic Information
| Provider Information | |||||||||
| NPI: | 1750335196 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KOENIG | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | D. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4440 BROADWAY BLVD | ||||||||
| Address2: | |||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641113315 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9134397457 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12800 METCALF AVE | ||||||||
| Address2: | |||||||||
| City: | OVERLAND PARK | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662132706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9136619990 | ||||||||
| FaxNumber: | 9136619963 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2006 | ||||||||
| LastUpdateDate: | 03/15/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 0429507 | KS | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.