Kim Edward Koger in Jupiter - Military Health Care Provider

Kim Edward Koger - NPI 1689700494

Kim Edward Koger is a Military Health Care Provider in Jupiter, Florida. Kim Edward Koger practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Kim Edward Koger is 1689700494. The last update date is 2009-02-10.

Kim Edward Koger's current location address is 4600 Military Trail, Jupiter, Florida. You can contact this provider via phone number 5617481565 and fax number 5617481568. The mailing address for Kim Edward Koger is 4600 Military Trail, Jupiter, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim Edward Koger
Address 4600 Military Trail, Jupiter, Florida
Phone Number 5617481565
Fax Number 5617481568
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1689700494
Provider Enumeration Date 2007-02-26
Last Updated Date 2009-02-10

Provider Mailing Address Detail

Address 4600 Military Trail
City Jupiter
State Florida (FL)
Post Code 33458
Phone Number 5617481565
Fax Number 5617481568

Provider's Primary Taxonomy Detail

Speciality Military Health Care Provider
Taxonomy 171000000X
Licence No 75895
Definition:
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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FAQs about Kim Edward Koger

What is the unique identifier code issued to Kim Edward Koger by the Centers for Medicare & Medicaid Services?

The Kim Edward Koger has been assigned the NPI (National Provider Identifier) 1689700494. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kim Edward Koger is geographically located?

The Kim Edward Koger is physically situated at the following location: 4600 Military Trail, Jupiter, FL, 33458.

What is Kim Edward Koger's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kim Edward Koger's area of specialization is Military Health Care Provider, and the corresponding taxonomy code that categorizes this field of practice is 171000000X.

On what date did Kim Edward Koger receive its 1689700494 assignment from the Centers for Medicare & Medicaid Services?

The Kim Edward Koger was assigned its 1689700494 on 2007-02-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Kim Edward Koger's information last updated?

The Kim Edward Koger's information was last updated on 2009-02-10.

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