Kenneth Lowell Koenig, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C026868 Issued in CA

Practice address

217 National St
Santa Cruz, CA 95060-6518

Phone

(831) 425-8836

Fax

(831) 425-8836

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679606719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 NATIONAL ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950606518",
            "telephone_number": "831-425-8836",
            "fax_number": "831-425-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 NATIONAL ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950606518",
            "telephone_number": "831-425-8836",
            "fax_number": "831-425-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "KENNETH",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C026868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Jane Knott, M.S., CCC-SLP
• Jenny Knowles, OTR/L
• Victoria Eileen Knowles, AOD
• Mary Dupasquier Knudtson, NP
• Suzanne O Koebler, ASW
• Leah K Koenig, NP
• Beverly Ann Koerner, LCS
• Russell Koester, L.AC., DIPL. O.M.
• Keren-Happuch Elizabeth Kohath, DO
• Kohut Medical a Professional Corporation

• Psychiatry Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.