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

Individual provider General Practice Physician · NPI 1396961470

Kenneth S Koenig, MD is a Family Practice in Redding, California. Graduated from Loma Linda University School of Medicine in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
40
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8935 Olney Park Dr
Redding, CA 96001-9717
Phone: (530) 246-1139
Fax: (530) 246-9958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G63182 (CA)

Record details

NPI number1396961470
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2007
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020
Mailing addressPo Box 491836, Redding, CA 96049-1836

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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