Individual
MARY E KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-7819
Mailing address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-7819
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36546
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003706
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
07/08/2007
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