Dr. Teresa Koeller
Family Doctor Family Doctor - Addiction Medicine
351 Centre View Boulevard
Crestview Hills
, Kentucky 41017-3477
Dr. Teresa Koeller
Family Doctor Family Doctor - Addiction Medicine
351 Centre View Boulevard
Crestview Hills
, Kentucky 41017-3477
(859) 331-2425
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Teresa Koeller
- Po Box 635283
- Cincinnati, OH
- Zip : 45263-5283
- Fax : (859) 331-2425
- Phone : (859) 757-0717
Second Address
- Dr. Teresa Koeller
- 351 Centre View Boulevard
- Crestview Hills, KY
- Zip : 41017-3477
- Fax : (859) 331-2425
- Phone : (859) 757-0717
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 31695 | KY |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 31695 | KY |
National Provider Identifier
| NPI | 1457399917 |
|---|---|
| Provider Name | Dr. Teresa Koeller |
| First Address | Cincinnati, OH 45263-5283 |
| Second Address | Crestview Hills, KY 41017-3477 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2006 |
| Last Update Date | 01/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 080142307 | RAILROAD MEDICARE (01) | KY |
| 2275274 | (05) | OH |
| 64316953 | (05) | KY |
| G61249 | (02) | KY |
| P00856609 | RAILROAD MEDICARE (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.