Individual
DR. KRISTOPHER KOELEWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-1000
Mailing address
112 HUGH ST, VALLEJO, CA 94591-7504
(559) 707-0452
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5785
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
R10615
NY
Other
Enumeration date
12/19/2018
Last updated
07/29/2021
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