Individual
KATHLEEN E KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
364 STATE RD, VINEYARD HAVEN, MA 02568-5624
(508) 693-4400
(508) 693-2098
Mailing address
364 STATE RD, VINEYARD HAVEN, MA 02568-5624
(508) 693-4400
(086) 932-0985
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49598
MA
207RG0100X
Gastroenterology Physician
49598
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029341
—
MA
01
—
AA6332
HPHC
MA
01
—
J04688
BCBS
MA
Enumeration date
05/11/2006
Last updated
06/11/2024
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