IndividualActive
Carl Koenen, MD
NPI 1679769350 · Anatomic Pathology & Clinical Pathology Physician · Boise, ID
Provider details
- NPI number
- 1679769350
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M2640 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1055 N Curtis Rd
Boise, ID 83706-1309
Phone: (208) 367-2152
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9589
Boise, ID 83707-4589
Registry dates
- Enumerated
- 2007-09-17
- Last updated
- 2007-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.