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

Thomas A Koenig, SAC

Individual provider Surgical Physician Assistant · NPI 1689678914

Thomas A Koenig, SAC is a Surgical Physician Assistant in Edgewood, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005

Practice location Address checks out

560 S Loop Rd
Edgewood, KY 41017-3454
Phone: (859) 301-2663
Fax: (859) 301-0655
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 02-296 (KY)

Record details

NPI number1689678914
Entity typeIndividual (Type 1)
GenderMale
Credentials SAC
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESMarch 6, 2008
Mailing address560 South Loop Rd, Edgewood, KY 41017-3454

Other providers in Edgewood