Individual
MS. VICTORIA MARGARET KOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1003
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2020005247
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
25895
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910080855
—
MO
Enumeration date
04/21/2017
Last updated
08/03/2022
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