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NPI Code Detail

MEDICARE: EVERETT E KOEHN DO

MEDICARE: EVERETT E KOEHN DO
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
1207Q00000XFamily Medicine PhysicianR3H55MO

General Provider Information

NPI Number : 1427072800
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVERETT E KOEHN DO
Provider Business Mailing Address
First Line : 8550 MARSHALL DR
Second Line : STE. 220
City : LENEXA
State : KS
Zip : 66214-1505
Country : US
Telephone Number : 816-453-1818
Fax Number :
Provider Business Practice Location Address
First Line : 101 NW ENGLEWOOD RD
Second Line :
City : GLADSTONE
State : MO
Zip : 64118-4063
Country : US
Telephone Number : 816-453-1818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 01/30/2013

Similar Medicare Providers

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Practice Location Address:
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1780608968 — DR. CARLA JUNE BALL D.O.
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1568486017 — DR. SHEILA K PHILLIPS D.O.
Practice Location Address:
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1609031038 — MRS. JENNIFER R KING MA CCC A
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Directions to “ EVERETT E KOEHN DO” Practice Location

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