Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 75893 | KS |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 53-75893-082 | KS |
NPI | 1144567991 |
---|---|
Provider Name | David James Koerner |
First Address | Topeka, KS 66604-1301 |
Second Address | Topeka, KS 66604-1301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2013 |
Last Update Date | 09/11/2021 |