Doctor Name: | THERESA R KOESTER |
NPI Number: | 1770531444 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 27960 |
Business Practice Address: | 2900 Chancellor Dr Crestview Hills, KY - 410175427 |
Business Phone Number: | 8593632142 |
Business Fax Number: | 8593632140 |
Mailing Address: | 2900 Chancellor Dr, CRESTVIEW HILLS |
State: | KY |
Postal Code: | 410175427 |
Phone Number: | 8593632142 |
Fax Number: | 8593632140 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 08/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 27960 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |