Individual provider · Type 1 NPI
Leon Koenck, PA C
Physician Assistant · Gualala, CA
Practice location
46900 Ocean Dr, Ste 1100
Gualala, CA 95445-8353
Fax (707) 884-4625
Mailing address
200 West 34th Avenue, #539
Anchorage, AK 99503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 270 (AK) |
| Physician Assistant Primary | 363A00000X | PA19714 (CA) |
| Physician Assistant | 363A00000X | PA 10003212 (WA) |
| Medical Physician Assistant | 363AM0700X | PA19714 (CA) |
| Medical Physician Assistant | 363AM0700X | PA10003212 (WA) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1164555769
Leon Koenck, PA C's National Provider Identifier is 1164555769, issued on Mar 13, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gualala, CA. The record was last updated on Feb 2, 2016.