Search › Arizona › 363LN0000X
Jaime Koenig
NPI 1144925306 · on the registry since 2023
Practice
- Address
- 905 E Irvine Rd
Phoenix, AZ 85086 - Phone
- (623) 205-1811
Additional practice sites
- 5555 W Thunderbird Rd, Glendale, AZ
- 2601 E Roosevelt St, Phoenix, AZ
Registry record
- Primary taxonomy
- 363LN0000X
363LN0000X
- Also registered as
- 163WN0002X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona