| Kathrin A Koehler | |
|
4674 Hominy Ridge Rd Springfield OH 45502-8031 | |
| (937) 206-3458 | |
| Not Available |
| Full Name | Kathrin A Koehler |
|---|---|
| Speciality | Psychologist |
| Location | 4674 Hominy Ridge Rd, Springfield, Ohio |
| Authorized Official Name and Position | Kathrin A Koehler (OWNER) |
| Authorized Official Contact | 9372063458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathrin A Koehler 4674 Hominy Ridge Rd Springfield OH 45502-8031 Ph: (937) 206-3458 | Kathrin A Koehler 4674 Hominy Ridge Rd Springfield OH 45502-8031 Ph: (937) 206-3458 |
| NPI Number | 1194359216 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Medicare PECOS PAC ID | 6608207733 |
|---|---|
| Medicare Enrollment ID | O20200505002926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194359216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathrin A Koehler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770114647 PECOS PAC ID: 7416388541 Enrollment ID: I20200505003024 |
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