Koeller, Teresa

Koeller, Teresa is an individual health care provider with primary practice located at 20 W 18Th St , Covington KY 41011-3329. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Koeller, Teresa can be contacted via phone (859) 757-0717.

Contact Information

Primary practice address
20 W 18Th St Covington KY 41011-3329
Phone: (859) 757-0717
Fax: (859) 331-2425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01089207A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31695 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 01089207A Indiana
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 31695 Kentucky

Profile Details

NPI number 1457399917
LBN Legal business name Koeller, Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Nov 8th, 2023 - 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 1457399917 NPPES
Kentucky MEDICAID 64316953
Kentucky MEDICAID 2275274
Kentucky Other 080142307
Kentucky Other P00856609

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