Search › Wisconsin › 207Q00000X
Kenyn Koop, MD
NPI 1124507439 · on the registry since 2018
Practice
- Address
- 849 Kellogg Ave
Janesville, WI 53546 - Phone
- (608) 755-7960
- Organisation at this address
- Mercy Health System Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 41
Additional practice sites
- 103 Whitetail Dr, Walhalla, SC
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- WI, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin