Individual
JORDYN HUDGINS KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5950 FAIRVIEW RD STE 808, CHARLOTTE, NC 28210-2110
(910) 323-1545
Mailing address
6016 KIRKWYND COMMONS DR, CHARLOTTE, NC 28278-6660
(704) 806-0636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001010814
NC
Other
Enumeration date
12/07/2020
Last updated
05/26/2022
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