Individual provider · Type 1 NPI

Coralee Ruth Koning, PA-C

Medical Physician Assistant · Fresno, CA

NPI number 1992793525 Active

Practice location

2335 E Kashian Ln Ste 260
Fresno, CA 93701-2234

Call (559) 256-5130 Map

Fax (559) 485-4504

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60188369 (WA)
Physician Assistant 363A00000XPA153205 (OR)
Medical Physician Assistant Primary 363AM0700XPA14217 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1992793525

Coralee Ruth Koning, PA-C's National Provider Identifier is 1992793525, issued on Oct 7, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fresno, CA. The record was last updated on Sep 14, 2021.