Koester, Theresa R

Koester, Theresa R is an individual health care provider with primary practice located at 2900 Chancellor Dr , Crestview Hills KY 41017-5427. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Koester, Theresa R can be contacted via phone (859) 363-2142.

Contact Information

Primary practice address
2900 Chancellor Dr Crestview Hills KY 41017-5427
Phone: (859) 363-2142
Fax: (859) 363-2140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27960 Kentucky
Other Service Providers / Specialist 174400000X 27960 Kentucky

Profile Details

NPI number 1770531444
LBN Legal business name Koester, Theresa R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Aug 25th, 2009 - about 15 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 1770531444 NPPES
Indiana MEDICAID 200944760
Indiana Other 000000479137
Indiana MEDICAID 64279607
Indiana Other 310674100
Indiana Other 4296182
Indiana Other 50013712

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