Individual
SARA LYNN KOCIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3525 SOUTHERN BLVD, KETTERING, OH 45429-1221
Mailing address
3525 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8839
(937) 395-8387
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.014980
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2018
Last updated
06/02/2022
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