Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSEPH KOENIGSMARK, D.O.,M.B.A.
Active Sole ProprietorDR. JOSEPH KOENIGSMARK, D.O.,M.B.A. is a Addiction Medicine (Family Practice) healthcare provider located in SHEPHERDSVILLE, Kentucky. NPI 1437214731 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · SHEPHERDSVILLE, KY
Registration Details
- NPI Number
- 1437214731
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2006 (19.654696063478 yrs)
- Last Updated
- Dec 13, 2022
- Licenses
-
02001067A (IN)02001067A (IN)02001067A (IN)02001067A (IN)02001067A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
407 ZINNIA WAYSHEPHERDSVILLE, KY, 401659663Browse KY providers · Browse ZIP 40165
- Phone
- 8122888410
- Fax
- 8122888409
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Psychiatry
- Additional Specialty
- Family Medicine
- Additional Specialty
- 202C00000X
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.