Healthcare Provider Details

I. General information

NPI: 1669513321
Provider Name (Legal Business Name): STEVEN M. KOENIG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 EAGLE DR
MOREHEAD KY
40351-7421
US

IV. Provider business mailing address

1900 EAGLE DR
MOREHEAD KY
40351-7421
US

V. Phone/Fax

Practice location:
  • Phone: 434-962-3861
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number44452
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number44452
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number44452
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: