Most Relevant Information
Provider Data
| NPI Number: | 1003250846 |
| Provider Name: | RICHARD GABRIEL KOENIG D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207ZP0105X |
| Specialty: | Pathology |
| License Number: | 02005473A |
Most Important Dates
| Enumeration Date: | 04/23/2013 |
| Last Updated: | 09/12/2018 |
Provider Practice Location
1125 W JEFFERSON ST
FRANKLIN
IN
461312140
Practice Location Phone/Fax
| Phone: | 3177363479 |
| Fax: |
Provider Mailing Location
1125 W JEFFERSON ST
FRANKLIN
IN
461312140
Provider Mailing Phone/Fax
| Phone: | 3177363300 |
| Fax: |