Individual
KATELYN NICOLE KOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
600 E 5TH ST, FULTON, MO 65251-1793
(573) 592-3067
Mailing address
2230 BENNETT SPRINGS DR APT 107, COLUMBIA, MO 65201-7285
(419) 239-1457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03442208
OH
183500000X
Pharmacist
2023022784
MO
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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