Individual
DR. KRISTEN LOIS KOEHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4255 HAMPTON AVE, SAINT LOUIS, MO 63109-2120
(314) 802-0123
Mailing address
616 N 7TH ST APT 908, SAINT LOUIS, MO 63101-1336
(573) 239-5797
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2012024146
MO
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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