Kristina R Koyen, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

48539 Issued in WI

Practice address

323 S 18TH Ave
Sturgeon Bay, WI 54235-1401

Phone

(920) 495-4303

NPI assigned

Oct 13, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1013905975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 N 6TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352118",
            "telephone_number": "920-495-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S 18TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351401",
            "telephone_number": "920-495-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOYEN",
        "first_name": "KRISTINA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "48539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Walter Kleman, DO
• Jean L Koelbl, PT
• Rhonda J Kolberg, RN, BSN, MS
• Kristine Kelly Konrad, MS
• Debora J Kortbein, CRNA
• Callie Ann Krauel, MSW
• Emily M Kraynak, LCSW
• Joseph A. Krebsbach, BSW, CADC III
• Taylor M Kubicek, DNP, FNP-C
• Ross Jared Kulick, DPT

• Athletic Trainer in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.