Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas A Koenig, SAC

Individual provider Surgical Physician Assistant · NPI 1689678914

Thomas A Koenig, SAC is a Surgical Physician Assistant in Edgewood, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005

Practice location Address checks out

560 S Loop Rd
Edgewood, KY 41017-3454
Phone: (859) 301-2663
Fax: (859) 301-0655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 02-296 (KY)

Record details

NPI number1689678914
Entity typeIndividual (Type 1)
GenderMale
Credentials SAC
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESMarch 6, 2008

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