person
Shane Koler, DO
Student in an Organized Health Care Education/Training Program in Corinth, Mississippi
NPI 1962073825

Shane Koler is a Student in an Organized Health Care Education/Training Program based in Corinth, MS. Shane Koler practices in Corinth, MS and has the professional credentials of DO. The NPI Number for Shane Koler is 1962073825 and holds a License No. (Mississippi).

The current practice location address for Shane Koler is 611 Alcorn Dr, Corinth, MS and can be reached out via phone at 662-293-7687 and via fax at 662-293-4347.

Location: 611 Alcorn Dr, Corinth, MS, 38834-9321
person
Provider Profile Details
NPI Number
1962073825
Provider Name
Shane Koler
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
611 Alcorn Dr, Corinth, MS, 38834-9321
Phone Number
662-293-7687
Fax Number
662-293-4347
Provider Enumeration Date
07/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
611 Alcorn Dr
City
State
Zip
38834-9321
Phone Number
662-293-7687
Fax Number
662-293-4347
person
Provider Business Mailing Address Details
Address
611 Alcorn Dr
City
State
Zip
38834-9321
Phone Number
662-293-7687
Fax Number
662-293-4347
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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