Individual
ANDREA KOEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218
(316) 685-2221
Mailing address
200 W DOUGLAS AVE STE 600, WICHITA, KS 67202-3006
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0431707
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200365
—
KS
Enumeration date
07/18/2005
Last updated
07/10/2018
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