Male or Other

Cameron J. Koenig

Counselor in Omaha, NE(View on Map)

Full Name

Cameron James Koenig

NPI Number

1285201194

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/09/2021

Specialties

(Taxonomies)

Code

101Y00000X
104100000X

Primary Taxonomy

Yes
No

Licenses

State

Nebraska
Nebraska

License Number

12498
7581

Contact
Information

Purpose

Mailing
Location

Address

4545 DODGE ST
4545 DODGE ST

City

Omaha
Omaha

State

NE
NE

Postal Code

68132-3232
68132-3232

Country

US
US

Telephone Number

N/A
(402) 553-6000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/09/2021

Provider Address

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