Individual
KELSEY DIANA KOESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 16TH AVE S, BIRMINGHAM, AL 35205-5021
(205) 933-0987
Mailing address
3076 OVERTON RD, MOUNTAIN BRK, AL 35223-2738
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2119
AL
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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