Koffel, Kevin K

Koffel, Kevin K is an individual health care provider with primary practice located at 3439 Granite Cir , Toledo OH 43617-1161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Koffel, Kevin K can be contacted via phone (419) 843-7996.

Contact Information

Primary practice address
3439 Granite Cir Toledo OH 43617-1161
Phone: (419) 843-7996
Fax: (419) 841-7725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35045739K Ohio

Profile Details

NPI number 1356338487
LBN Legal business name Koffel, Kevin K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated May 1st, 2012 - about 13 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 1356338487 NPPES
Other 4037439 AETNA
Other 00267 AETNA
MEDICAID 0479781 AETNA
Other P00659824 AETNA
Other 000000581405 AETNA

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