Individual
DR. KATHLEEN MARY KOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1110 N SARAH DEWITT DR, GONZALES, TX 78629-3311
(830) 672-8502
(830) 672-3035
Mailing address
1110 N SARAH DEWITT DR, GONZALES, TX 78629-3311
(830) 672-8502
(830) 672-3035
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101015812
MI
208600000X
Surgery Physician
Primary
P0843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369192
—
AZ
01
—
P0843
STATE LI TEXAS
TX
Enumeration date
05/02/2007
Last updated
09/12/2011
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