Provider Demographics
NPI:1376659250
Name:KOEHLER, KAREN ELIZABETH (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELIZABETH
Last Name:KOEHLER
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Gender:F
Credentials:DDS MS
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Mailing Address - Street 1:9776 SAN JOSE BLVD
Mailing Address - Street 2:STE 2
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-4400
Mailing Address - Country:US
Mailing Address - Phone:904-268-3052
Mailing Address - Fax:904-880-0946
Practice Address - Street 1:9776 SAN JOSE BLVD
Practice Address - Street 2:STE 2
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-4400
Practice Address - Country:US
Practice Address - Phone:904-268-3052
Practice Address - Fax:904-880-0946
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2013-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLDN163751223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics