Koning, Coralee Ruth

Koning, Coralee Ruth is an individual health care provider with primary practice located at 2335 E Kashian Ln Ste 260 , Fresno CA 93701-2234. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Koning, Coralee Ruth can be contacted via phone (559) 256-5130.

Contact Information

Primary practice address
2335 E Kashian Ln Ste 260 Fresno CA 93701-2234
Phone: (559) 256-5130
Fax: (559) 485-4504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60188369 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA153205 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA14217 California

Profile Details

NPI number 1992793525
LBN Legal business name Koning, Coralee Ruth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Sep 14th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992793525 NPPES
Oregon MEDICAID 500655889
Oregon Other P01238392

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