person
Jayne Alyssa Koehler, PA-C
Medical Physician Assistant in Lexington, South Carolina
NPI 1093967887

Jayne Alyssa Koehler is a Medical Physician Assistant based in West Columbia, SC and is specialized in Medical. Jayne Alyssa Koehler practices in Lexington, SC and has the professional credentials of PA-C. The NPI Number for Jayne Alyssa Koehler is 1093967887 and holds a License No. TL1353 (South Carolina).

The current practice location address for Jayne Alyssa Koehler is 122 Powell Dr, Lexington, SC and can be reached out via phone at 803-957-8400 and via fax at 803-957-1939.

Location: 122 Powell Dr, Lexington, SC, 29171-6069
person
Provider Profile Details
NPI Number
1093967887
Provider Name
Jayne Alyssa Koehler
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
122 Powell Dr, Lexington, SC, 29171-6069
Phone Number
803-957-8400
Fax Number
803-957-1939
Provider Enumeration Date
10/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1080454 01 SC NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
institution
Provider Business Practice Location Address Details
Address
122 Powell Dr
City
State
Zip
29072-9203
Phone Number
803-957-8400
Fax Number
803-957-1939
person
Provider Business Mailing Address Details
Address
122 Powell Dr
City
State
Zip
29072-9203
Phone Number
803-957-8400
Fax Number
803-957-1939
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
TL1353 (South Carolina)
Definition
Definition to come...
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