Individual
MICHAEL J KOELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
210 HOOVER ST, JEFFERSON CITY, MO 65109-0800
(573) 632-4321
(573) 632-4324
Mailing address
210 HOOVER ST, JEFFERSON CITY, MO 65109-0800
(573) 632-4321
(573) 632-4324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2011033700
MO
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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