Individual
DR. TYLER KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5901 NW 63RD TER STE 150, KANSAS CITY, MO 64151-3602
(816) 505-2222
Mailing address
2301 SW 6TH AVE, TOPEKA, KS 66606-1759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2019045908
MO
1223G0001X
General Practice Dentistry
61410
KS
Other
Enumeration date
06/12/2017
Last updated
08/21/2020
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