Individual
KEVIN KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 INNOVATION DR STE 2000, GREENVILLE, SC 29607-5253
(864) 603-6300
(877) 379-2919
Mailing address
26900 CEDAR RD, BEACHWOOD, OH 44122-1191
(216) 839-2990
(216) 839-2975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.121162
OH
207RH0000X
Hematology (Internal Medicine) Physician
35.121162
OH
207RH0003X
Hematology & Oncology Physician
Primary
35.121162
OH
207RH0003X
Hematology & Oncology Physician
93279
SC
207RX0202X
Medical Oncology Physician
35.121162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017303100
—
FL
Enumeration date
05/20/2010
Last updated
10/18/2024
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