Individual
DR. KIM EDWARD KOGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 JUPITER LAKES BLVD, BLDG 5000 SUITE 202, JUPITER, FL 33458-7191
(561) 748-1565
(561) 748-1568
Mailing address
4600 MILITARY TRAIL, SUITE 202, JUPITER, FL 33458
(561) 748-1565
(561) 748-1568
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
75895
FL
208200000X
Plastic Surgery Physician
Primary
ME75895
FL
Other
Enumeration date
02/26/2007
Last updated
02/10/2009
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