Individual
IRENE KOESTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4775 KNIGHTSBRIDGE BLVD, SUITE 207, COLUMBUS, OH 43214-4313
(614) 442-5557
(614) 442-1070
Mailing address
4775 KNIGHTSBRIDGE BLVD, SUITE 207, COLUMBUS, OH 43214-4313
(614) 442-5557
(614) 442-1070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35082264
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000356506
ANTHEM
—
01
—
2545946
BCMH
OH
05
—
2545946
—
OH
01
—
311268558032
CARESOURCE
—
01
—
7634634
AETNA HMO
OH
Enumeration date
03/14/2006
Last updated
07/02/2008
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