Individual
RENAE JENN MORTON KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMS, DMS
Contact information
Practice address
817 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-6383
(517) 541-6481
Mailing address
817 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-6383
(517) 541-6481
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2022041079
MO
Other
Enumeration date
10/31/2022
Last updated
06/27/2024
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