| Doctor Name: | DR. JOSEPH KOENIGSMARK |
| NPI Number: | 1437214731 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O.,M.B.A. |
| License Number: | 02001067A |
| Business Practice Address: | 407 Zinnia Way Shepherdsville, KY - 401659663 |
| Business Phone Number: | 8122888410 |
| Business Fax Number: | 8122888409 |
| Mailing Address: | 3006 Cobblers Crossing Rd, NEW ALBANY |
| State: | IN |
| Postal Code: | 471509457 |
| Phone Number: | 5026404403 |
| Fax Number: | 8127258168 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 04/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | 02001067A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |