Kenneth Koym, MFT, CE PROVIDER is a
Specialist based in Austin, Texas. Kenneth Koym is licensed to practice in Texas (license number 05-060-B (TEA)) and his current practice location is
9704 Monarch Ln, Austin, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 215-4798.
NPI number for Kenneth Koym is 1770664526 and his current mailing address is 9704 Monarch Ln, Austin, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770664526.
Healthcare Provider's Profile
| Full Name | Kenneth Koym |
|---|
| Gender | Male |
|---|
| Speciality | Specialist |
|---|
| Location | 9704 Monarch Ln, Austin, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770664526
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Kenneth Koym such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770664526 | NPI | - | NPPES |
| 562 | Other | TX | AMBARASSNCEPRVDR # |
| LP0005392 | Other | TX | # MAYBE MEDICARE |
| 00165 | Other | TX | BCBS IN MEXICO & TX |
| 02596810 | Medicaid | TX | |
| 11824054 | Other | TX | R & S NUMBER |
| 1240 | Other | TX | STATEBARTX CE PRVDR # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 2646 (Texas) | Primary |
| 174400000X | Specialist | 05-060-B (TEA) (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Koym is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth Koym, MFT, CE PROVIDER
9704 Monarch Ln,
Austin, TX 78724-5840
Ph: (512) 215-4798 | Kenneth Koym, MFT, CE PROVIDER
9704 Monarch Ln,
Austin, TX 78724-5840
Ph: (512) 215-4798 |
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