Leon Koenck, PA C
Physician Assistant · Gualala, CA
UnclaimedPA CNPI 1164555769
- Primary taxonomy
- 363A00000X
- Enumerated
- 2007-03-13
- Practice location
- Gualala, CA
- Last NPPES update
- 2016-02-02
State licenses
- AK · Physician assistant · NPPES self-reportedListed on NPI record
- CA · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.