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NPI Code Detail

MEDICARE: DR. KAREN ELIZABETH KOEHLER DDS MS

MEDICARE:  DR. KAREN ELIZABETH KOEHLER  DDS MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryDN16375FL

General Provider Information

NPI Number : 1376659250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN ELIZABETH KOEHLER DDS MS
Provider Business Mailing Address
First Line : 9776 SAN JOSE BLVD
Second Line : STE 2
City : JACKSONVILLE
State : FL
Zip : 32257-4400
Country : US
Telephone Number : 904-268-3052
Fax Number : 904-880-0946
Provider Business Practice Location Address
First Line : 9776 SAN JOSE BLVD
Second Line : STE 2
City : JACKSONVILLE
State : FL
Zip : 32257-4400
Country : US
Telephone Number : 904-268-3052
Fax Number : 904-880-0946
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 02/13/2013

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