Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Lee Koenig, DO

Individual provider Emergency Medicine Physician · NPI 1861710576

Kelly Lee Koenig, DO is an Emergency Medicine in San Angelo, Texas. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2010, 16 years ago. Practices with Shannon Clinic, a 547-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
TX
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

120 E Harris Ave
San Angelo, TX 76903-5904
Phone: (325) 658-1511
Fax: (325) 481-2166
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence Q0294 (TX)

Record details

NPI number1861710576
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 6, 2010
Last updated in NPPESJanuary 9, 2015
Mailing addressPo Box 22000, San Angelo, TX 76902-7200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2010 (16 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Angelo