Koegel, Andrea

Koegel, Andrea is an individual health care provider with primary practice located at 5500 E Kellogg Dr , Wichita KS 67218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Koegel, Andrea can be contacted via phone (316) 685-2221.

Contact Information

Primary practice address
5500 E Kellogg Dr Wichita KS 67218
Phone: (316) 685-2221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0431707 Kansas

Profile Details

NPI number 1407855901
LBN Legal business name Koegel, Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 10th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407855901 NPPES
Kansas MEDICAID 200365

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