Koehler, Kevin J

Koehler, Kevin J is an individual health care provider with primary practice located at 5701 W 119Th St Ste 120, Overland Park KS 66209-3721. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Koehler, Kevin J can be contacted via phone (913) 906-0833.

Contact Information

Primary practice address
5701 W 119Th St Ste 120 Overland Park KS 66209-3721
Phone: (913) 906-0833
Fax: (913) 906-0829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2009025417 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0426923 Kansas

Profile Details

NPI number 1568421758
LBN Legal business name Koehler, Kevin J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Dec 6th, 2021 - about 3 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 1568421758 NPPES
Kansas MEDICAID 200257580A

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