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Individual

KEVIN J KOEHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
5701 W 119TH ST, STE 120, OVERLAND PARK, KS 66209-3721
(913) 906-0833
(913) 906-0829
Mailing address
5701 W 119TH ST STE 430, OVERLAND PARK, KS 66209-3721
(816) 523-7088
(816) 523-5747

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2009025417
MO
363AS0400X
Surgical Physician Assistant
Primary
0426923
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200257580A
KS
Enumeration date
03/17/2006
Last updated
12/06/2021
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