Individual
KEITH N KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.A.
Contact information
Practice address
128 DRUM POINT RD, BRICK, NJ 08723-6231
(732) 262-0637
Mailing address
128 DRUM POINT RD, BRICK, NJ 08723-6231
(732) 262-0637
(732) 262-0637
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00034700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MZ00034700
LICENSE
NJ
Enumeration date
07/06/2007
Last updated
08/04/2011
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