National Provider Identifier
Peter M. Koehneke, ATC
Peter M. Koehneke, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Buffalo, NY and a listed phone number of (716) 888-2954.
Profile Overview
- NPI
- 1407820905
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- February 14, 2006
- Last Updated
- July 08, 2007
Practice Location
- 2001 Main St
- Buffalo, NY 14208-1035
Phone: (716) 888-2954
Mailing Address
- 73 Allenhurst RD
- Buffalo, NY 14214-1203
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1407820905
- Entity Type
- Individual
- Last Name
- Koehneke
- First Name
- Peter
- Middle Name
- M.
- Name Prefix
- Mr.
- Credential
- ATC
- Mailing Street Address
- 73 Allenhurst RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-1203
- Mailing Country
- US
- Mailing Phone
- (716) 888-2954
- Mailing Fax
- (716) 888-3216
- Practice Street Address
- 2001 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14208-1035
- Practice Country
- US
- Practice Phone
- (716) 888-2954
- Practice Fax
- (716) 888-3216
- Enumeration Date
- February 14, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)