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Individual

CHRISTOPHER E KOETTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
850 S ATLANTIC BLVD STE 201, MONTEREY PARK, CA 91754-6705
(626) 872-0264
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-109710-092
KS
367500000X
Certified Registered Nurse Anesthetist
140281
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
3853
CA
367500000X
Certified Registered Nurse Anesthetist
556943
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200637580A
KS
Enumeration date
01/13/2010
Last updated
08/24/2023
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