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Dr. Kim Edward Koger, M.D.

Plastic Surgery in Jupiter, FL. Individual provider (NPI-1).

NPI number1689700494
StatusActive
Last updated in NPPESFeb 10, 2009

Details

NPI
1689700494
Entity type
Individual (NPI-1)
Name
Dr. Kim Edward Koger
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 26, 2007
Last updated
Feb 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic SurgeryME75895FLYes
171000000X Military Health Care Provider75895FL

Practice location

210 Jupiter Lakes Blvd
Bldg 5000 Suite 202
Jupiter, FL 33458-7191

Phone 561-748-1565 · Fax 561-748-1568

Mailing address

4600 Military Trail
Suite 202
Jupiter, FL 33458

Phone 561-748-1565 · Fax 561-748-1568

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