Individual
CHRISTOPHER E KOETTEL
Active
Individual
CHRISTOPHER E KOETTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
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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