Individual provider · Type 1 NPI
Kelly Marie Koenck, NURSE PRACTITIONER
Family Nurse Practitioner · Lineville, IA
NPI number
1467925388
Active
Practice location
101 Main Street
Lineville, IA 50147-8517
Fax (641) 876-2458
Mailing address
25897 Highway A
Princeton, MO 64673-4690
Other practice locations
- 417 S East St, Corydon, IA 50060-1865 · (641) 872-2063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2019000931 (MO) |
| Family Nurse Practitioner | 363LF0000X | A155691 (IA) |
| Registered Nurse | 163W00000X | 2007032679 (MO) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Lineville
About NPI 1467925388
Kelly Marie Koenck, NURSE PRACTITIONER's National Provider Identifier is 1467925388, issued on Jan 3, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lineville, IA. The record was last updated on Sep 3, 2026.