Individual
AMY JOAN KOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12397
NV
208600000X
Surgery Physician
ME104839
FL
2086S0102X
Surgical Critical Care Physician
ME104839
FL
2086S0127X
Trauma Surgery Physician
Primary
ME104839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12397
MEDICAL LICENSE
NV
01
—
CS15369
PHARMACY LICENSE
NV
Enumeration date
07/27/2006
Last updated
03/07/2023
Update your record
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