Individual
KEVIN J KOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
225 N 7TH ST, BISMARCK, ND 58501-4417
(701) 323-6000
(701) 323-5709
Mailing address
PO BOX 5501, BISMARCK, ND 58506-5501
(701) 323-6000
(701) 323-5709
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
42
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11315
—
ND
Enumeration date
08/31/2006
Last updated
03/04/2019
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