Individual
DR. KOFFI M KLA
Active
Individual
DR. KOFFI M KLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2006-00895
NC
207L00000X
Anesthesiology Physician
Primary
45455
TN
207L00000X
Anesthesiology Physician
D0066123
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C11298
RAILROAD MEDICARE GROUP #
MD
Enumeration date
08/01/2006
Last updated
03/24/2022
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