Individual
KAYLS MARIE KOEZLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HID
Contact information
Practice address
3450 124TH AVE NW STE 105, COON RAPIDS, MN 55433-1004
(763) 421-1688
Mailing address
3450 124TH AVE NW STE 105, COON RAPIDS, MN 55433-1004
(763) 421-1688
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2807
MN
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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