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

Kenyn L. Koop, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124507439

Kenyn L. Koop, MD is a Family Practice in Janesville, Wisconsin. Qualified in 2017, 9 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in South Carolina and Wisconsin.

Years since qualifying
9
Licensed in
SC, WI
In the registry since
2018
Specialties on file
2
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

849 Kellogg Ave
Janesville, WI 53546-2808
Phone: (608) 755-7960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 103 Whitetail Dr, Walhalla, SC 29691-5837 — (864) 638-3444

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 86593 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 7185-851 (WI)

Record details

NPI number1124507439
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2018
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021
Mailing address300 E McBee Ave Fl 4, Greenville, SC 29601-2842

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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