Individual
DR. TIMOTHY MICHAEL KOEHLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3730 N RIDGE RD, STE 100, WICHITA, KS 67205-1228
(316) 462-6200
(316) 462-6214
Mailing address
3730 N RIDGE RD, STE 100, WICHITA, KS 67205-1228
(316) 462-6200
(316) 462-6214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0523700
KS
Other
Enumeration date
05/24/2005
Last updated
07/09/2007
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